Multiple Myeloma (MM)

实验内容 : • 掌握 MM 的诊断思路及骨髓象的主要特点• 了解 IM 的血象特征

A 58-year-old male gave chief complaint of

increasing fatigue and pain in his lower back

when he walked .

Laboratory Findings:

Hb 85g/L; RBC 3.2×1012/L; WBC 5.6×109/L; PLT 300×109/L; ESR 50mm/hX-ray indicated bone lesions in various sites

Myeloma cell

Flame cell

Mott cell

Rouleaus—like formationRouleaus—like formation

Blood smear

Bone marrow

Questions

1. what is the most probable diagnosis in this ca

se?

2. what are the diagnostic bases?

3. what additional tests are need to establish the

diagnosis?