KROK 1 Stomatology 2014 – Question 49 · KROK (Dentistry)

A patient underwent radiography that revealed numerous smooth-walled roundish defects in both jaws. Histological study revealed osteolysis and osteoporosis accompanied by the phenomena of poor bone formation. The patient’s urine contained Bence-Jones protein. What is the most likely diagnosis?

  1. A. Chronic erythroleukemia
  2. B. Acute undifferentiated leukemia
  3. C. Chronic myelogenous leukemia
  4. D. Acute myeloid leukemia
  5. E. Multiple myeloma
Hint

Ask which cell produces the protein found in the urine, and which neoplasm of that cell line also destroys bone focally.

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