Question
A 70-year-old male patient arrives at your clinic complaining of persistent hip pain. Upon conducting a hip X-ray, lytic lesions are identified. Further tests reveal elevated serum calcium levels, and a bone marrow biopsy shows 42% plasma cells. What would be the most accurate diagnosis?
| A. | Multiple Myeloma |
| B. |
Chronic Lymphocytic Leukemia (CLL) |
| C. |
Acute Lymphoblastic Leukemia (ALL) |
| D. |
Chronic Myelogenous Leukemia (CML) |
|
Correct Answer » A Explanation |
 |
The presence of lytic bone lesions on an X-ray, elevated serum calcium levels, and a significant percentage of plasma cells (42%) in the bone marrow biopsy strongly suggest a diagnosis of Multiple Myeloma.
Analysis of Image
Eccentric nucleus (typical plasma cell)
Multiple round, eosinophilic inclusions in cytoplasm
These inclusions are immunoglobulin accumulations