Late relapse in IgD myeloma: value of immunohistochemistry in trephine biopsy specimens.
IgD myeloma is a rare disorder with a very poor prognosis. An unusual case is reported where prolonged remission was obtained. Immunohistochemical staining of the bone marrow trephine biopsy specimen proved invaluable in documenting early relapse. It is suggested that immunohistochemistry should be adopted more widely in view of the disparities evident in aspirates and trephines.
Haematology Department, Belfast City Hospital, Belfast, Northern Ireland.
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P
Kettle
T C
TC
Morris
D001706:Biopsy; D001853:Bone Marrow / Q000737:chemistry*; D006801:Humans; D007124:Immunoenzyme Techniques; D007072:Immunoglobulin D / Q000032:analysis*; D007145:Immunoglobulin kappa-Chains / Q000032:analysis; D007146:Immunoglobulin lambda-Chains / Q000032:analysis; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000276:immunology / Q000473:pathology*; D009194:Myeloma Proteins / Q000032:analysis*; D012008:Recurrence; D013997:Time Factors
D007072:Immunoglobulin D; D007145:Immunoglobulin kappa-Chains; D007146:Immunoglobulin lambda-Chains; D009194:Myeloma Proteins