title: Multiple myeloma with bilateral humerus location. Case report.
abstract: Multiple myeloma, also known as Kahler's disease or myelomatosis, is a type of cancer that begins in plasma cells. It is the second most common hematologic malignancy (13%) and accounts for 1% of all cancers. A mnemonic sometimes used to remember the common tetrad of multiple myeloma is CRAB: C = Calcium (elevated), R = Renal failure, A = Anemia, B = Bone lesions.
  
  
  METHODS
  We present the case of an 70- year-old male with bilateral humeral location. Diagnosis was difficult because of atypical X-ray findings in the right shoulder, the classic finding being punched-out lesions. ESR, blood, renal and liver tests were atypical.
  
  
  CONCLUSIONS
  Although the diagnosis of multiple myeloma is easy, being based on blood and kidney tests and X-ray examination, in some cases an accurate diagnosis is obtained only by pathological examination.
authors: Discipline of Orthopedics and Traumatology, Faculty of Medicine, University of Medicine and Pharmacy Grigore T. Popa, Iasi.
authors: O
authors: O
authors: Alexa
authors: Discipline of Orthopedics and Traumatology, Faculty of Medicine, University of Medicine and Pharmacy Grigore T. Popa, Iasi.
authors: B
authors: B
authors: Veliceasa
mesh_terms: D000368:Aged; D003287:Contrast Media; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009101:Multiple Myeloma / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography
chemical_list: D003287:Contrast Media