多发性骨髓瘤能被治好吗?
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<h2 style="color: black; text-align: left; margin-bottom: 10px;">多发性骨髓瘤的总体治疗策略</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多发性骨髓瘤(multiple myeloma, MM)的特征为产生单克隆免疫球蛋白的克隆性浆细胞<span style="color: black;">出现</span>肿瘤性增殖。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨髓中<span style="color: black;">出现</span>的这种克隆性浆细胞增殖,常常<span style="color: black;">引起</span>广泛性骨骼破坏,<span style="color: black;">包含</span>溶骨性病变、骨质减少和/或病理性骨折。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其他的<span style="color: black;">疾患</span><span style="color: black;">关联</span>并发症<span style="color: black;">包含</span>高钙血症、肾功能不全、贫血及感染。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">明确诊断</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">评定</span>新发MM<span style="color: black;">病人</span>的第1步是确认诊断,<span style="color: black;">由于</span>骨髓瘤的癌前<span style="color: black;">周期</span>[即<span style="color: black;">道理</span>未明的单克隆丙种球蛋白血症(monoclonal gammopathy of undetermined significance, MGUS)和冒烟型多发性骨髓瘤(smoldering multiple myeloma, SMM)]容易被不小心误诊为MM。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">例如,MGUS<span style="color: black;">病人</span>可能存在糖尿病或高血压<span style="color: black;">导致</span>的肾衰竭,或是其他癌症<span style="color: black;">导致</span>的骨病变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>将这些表现误认为是浆细胞病<span style="color: black;">导致</span>,则可能会错误诊断为MM。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>,应<span style="color: black;">尽可能</span><span style="color: black;">知道</span>观察到的“终末器官<span style="color: black;">损害</span>”<span style="color: black;">是不是</span>真的继发于<span style="color: black;">基本</span>性浆细胞病,而不是其他不<span style="color: black;">关联</span>的病变过程。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不同于MGUS和SMM<span style="color: black;">病人</span></p>
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感谢楼主的分享!我学到了很多。
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