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Colon Angiodysplasia and Multiple Myeloma (18 of 24)
Case description
Radiographic survey demonstrates lytic lesions
The preferred initial radiographic examination for the
staging and diagnosis of myeloma remains the skeletal
survey. Patients suspected of having multiple myeloma
based on bone marrow aspirate results or
hypergammaglobulinemia should undergo a radiographic
skeletal survey. Conventionally, this skeletal survey has
consisted of a lateral radiograph of the skull,
anteroposterior (AP) and lateral views of the spine, and AP
views of the pelvis, ribs, femora, and humeri. Inclusion of
these bones is important for both staging and diagnosis.
The finding of more than one lytic lesion in a patient with
myeloma indicates stage III disease. Focused examinations
of newly painful bones are of value in assessing for
impending pathologic fracture.
The preferred initial radiographic examination for the
staging and diagnosis of myeloma remains the skeletal
survey. Patients suspected of having multiple myeloma
based on bone marrow aspirate results or
hypergammaglobulinemia should undergo a radiographic
skeletal survey. Conventionally, this skeletal survey has
consisted of a lateral radiograph of the skull,
anteroposterior (AP) and lateral views of the spine, and AP
views of the pelvis, ribs, femora, and humeri. Inclusion of
these bones is important for both staging and diagnosis.
The finding of more than one lytic lesion in a patient with
myeloma indicates stage III disease. Focused examinations
of newly painful bones are of value in assessing for
impending pathologic fracture.
