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Waldenström's macroglobulinemia as a diagnostic challenge: case report.
[waldenström macroglobulinemia]
Waldenström
's
macroglobulinemia
is
a
distinct
clinicopathologic
entity
defined
as
a
B-
cell
neoplasm
characterized
by
lymphoplasmacytic
infiltrate
in
the
bone
marrow
,
with
an
associated
immunoglobulin
(
Ig
)
M
paraprotein
.
Clinical
manifestations
are
due
to
deposition
of
IgM
in
the
liver
,
spleen
,
and
/
or
lymph
nodes
,
so
it
presents
with
anemia
,
hyperviscosity
,
lymphadenopathy
,
hepatomegaly
,
splenomegaly
and
neurologic
symptoms
.
The
main
diagnostic
criteria
are
a
typical
peak
on
serum
protein
electrophoresis
and
malignant
cells
in
bone
marrow
biopsy
samples
.
There
is
no
standard
therapy
for
the
treatment
of
symptomatic
Waldenstrom
's
macroglobulinemia
and
no
agents
have
been
specifically
approved
for
this
disease
,
but
initial
treatment
usually
starts
with
the
monoclonal
anti-
CD
2
0
antibody
rituximab
,
either
alone
or
in
combination
with
other
agents
,
rather
than
chemotherapy
alone
.
This
article
confirms
that
,
despite
the
existence
of
more
modern
imaging
methods
,
ultrasonography
still
has
a
significant
diagnostic
role
.
Diseases
Validation
Diseases presenting
"neoplasm"
symptom
adrenal incidentaloma
alexander disease
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial hypocalciuric hypercalcemia
focal myositis
hodgkin lymphoma, classical
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated