Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report

Waldenstrom’s macroglobulinemia (WM) is a rare type of malignant B-cell lymphoma. The main feature of WM is elevated serum monoclonal immunoglobulin M, similar to multiple myeloma (MM). Unlike in MM, the rarity of destructive bone lesions in WM has been repeatedly emphasized. We report a unique case...

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Main Authors: Jun-Ming Lin, Xiao-Jun Yuan, Lu Zhang, Guang Li, Xin-rong Gan, Wen-Hua Xu
Format: Article
Language:English
Published: SAGE Publishing 2022-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221096161
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author Jun-Ming Lin
Xiao-Jun Yuan
Lu Zhang
Guang Li
Xin-rong Gan
Wen-Hua Xu
author_facet Jun-Ming Lin
Xiao-Jun Yuan
Lu Zhang
Guang Li
Xin-rong Gan
Wen-Hua Xu
author_sort Jun-Ming Lin
collection DOAJ
description Waldenstrom’s macroglobulinemia (WM) is a rare type of malignant B-cell lymphoma. The main feature of WM is elevated serum monoclonal immunoglobulin M, similar to multiple myeloma (MM). Unlike in MM, the rarity of destructive bone lesions in WM has been repeatedly emphasized. We report a unique case of WM with a vertebral compression fracture as the first symptom. This case highlights that the presence or absence of bone destruction may not clearly distinguish between WM and MM. The possibility of WM should be considered in patients with vertebral fracture and destruction as the first presentation. Performing vertebral bone marrow aspiration biopsy during percutaneous vertebroplasty is a convenient and effective method to assist in the diagnosis of WM.
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spelling doaj.art-86297b8996f14920ab2da95d0aa177da2022-12-22T02:53:12ZengSAGE PublishingJournal of International Medical Research1473-23002022-04-015010.1177/03000605221096161Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case reportJun-Ming LinXiao-Jun YuanLu ZhangGuang LiXin-rong GanWen-Hua XuWaldenstrom’s macroglobulinemia (WM) is a rare type of malignant B-cell lymphoma. The main feature of WM is elevated serum monoclonal immunoglobulin M, similar to multiple myeloma (MM). Unlike in MM, the rarity of destructive bone lesions in WM has been repeatedly emphasized. We report a unique case of WM with a vertebral compression fracture as the first symptom. This case highlights that the presence or absence of bone destruction may not clearly distinguish between WM and MM. The possibility of WM should be considered in patients with vertebral fracture and destruction as the first presentation. Performing vertebral bone marrow aspiration biopsy during percutaneous vertebroplasty is a convenient and effective method to assist in the diagnosis of WM.https://doi.org/10.1177/03000605221096161
spellingShingle Jun-Ming Lin
Xiao-Jun Yuan
Lu Zhang
Guang Li
Xin-rong Gan
Wen-Hua Xu
Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
Journal of International Medical Research
title Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
title_full Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
title_fullStr Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
title_full_unstemmed Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
title_short Does Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
title_sort does waldenstrom s macroglobulinemia also cause bone destruction a rare case report
url https://doi.org/10.1177/03000605221096161
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