KROK 1 2021 – Question 38 · KROK (Medicine) · Pathomorphology

X-ray has detected multiple foci of osteoporosis and osteolysis in the flat bones of a man. Trephine biopsy material contains high levels of neoplastic plasma cells. Make the diagnosis:

  1. A. Chronic myeloid leukemia
  2. B. Histiocytosis
  3. C. Multiple myeloma
  4. D. Lymphogranulomatosis
  5. E. Acute monocytic leukemia
Hint

Focus on the cell type that proliferates in the biopsy and on the punched-out lytic bone lesions that such cells provoke through osteoclast activation.

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