The Story of a 56-year-old Woman

Low back pain

• Rehabilitation techniques, painkiller injections
• X-ray was not performed!!! as were not ESR and protein electrophoresis
• After 4 months development of lower limb paraparesis
• Destruction of vertebrae Th 12-L3 observed
• Surgical stabilization undertaken
• Histology diagnosed myeloma
• The patient was not referred to haematology
• Because of “grim prognosis“ only symptomatic therapy recommended
• Haematology-oncology therapy was not initiated until 4 months later resulting in complete remission and return to everyday life
• Myeloma should always be considered! Do articulate your suspicion in time!