Open AccessDoes Waldenstrom’s macroglobulinemia also cause bone destruction? A rare case report
Author(s) -
Jun-Ming Lin,
Xiaojun Yuan,
Lu Zhang,
Guang Li,
Xin-Rong Gan,
Xu Wang
Publication year - 2022
Publication title -
journal of international medical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.421
H-Index - 57
eISSN - 1473-2300
pISSN - 0300-0605
DOI - 10.1177/03000605221096161
Subject(s) - medicine , waldenstrom macroglobulinemia , macroglobulinemia , multiple myeloma , bone marrow , biopsy , lymphoma , lymphoproliferative disorders , pathology , vertebral compression fracture , radiology , osteoporosis
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.