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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
"neurologic symptoms"
symptom
alexander disease
cystinuria
waldenström macroglobulinemia
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