{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:22:44Z","timestamp":1787401364316,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Multiple myeloma is predominantly observed in the geriatric population and accounts for approximately 10% of all hematologic malignancies. It typically presents with multiple bone lesions and clinical features fulfilling the CRAB criteria (hyperCalcemia, Renal failure, Anemia, and Bone involvement). Herein, we present the case of an 82-year-old patient who presented with a solitary lytic rib lesion in the left hemithorax. The patient exhibited only bone pain among the CRAB features, and systemic radiological evaluation revealed no additional lesions. The initial clinical impression was that of a primary malignancy of the thoracic wall. A diagnosis of multiple myeloma was confirmed based on the histopathological evaluation of both the solitary lytic rib lesion and bone marrow samples.<\/jats:p>","DOI":"10.1093\/omcr\/omag152","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:48:26Z","timestamp":1785498506000},"source":"Crossref","is-referenced-by-count":0,"title":["A solitary lytic rib lesion mimicking primary Chest Wall malignancy as the initial presentation of multiple myeloma"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7224-6961","authenticated-orcid":false,"given":"\u0130smail","family":"Tombul","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Ankara Training And Research Hospital , Ulucanlar Avenue No: 59, 06230 Altindag, Ankara,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8587-5233","authenticated-orcid":false,"given":"Elg\u00fcn","family":"Valiyev","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Ankara Training And Research Hospital , Ulucanlar Avenue No: 59, 06230 Altindag, Ankara,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4319-1097","authenticated-orcid":false,"given":"Tu\u011f\u00e7e A","family":"Akbal Ers\u00f6z","sequence":"additional","affiliation":[{"name":"Department of Pathology, Ankara Training And Research Hospital , Ulucanlar Avenue No: 59, 06230 Altindag, Ankara,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1937-2771","authenticated-orcid":false,"given":"Mehmet","family":"Zengin","sequence":"additional","affiliation":[{"name":"Department of Pathology, Ankara Training And Research Hospital , Ulucanlar Avenue No: 59, 06230 Altindag, Ankara,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,22]]},"reference":[{"key":"2026082207313452400_ref1","article-title":"Challenges, difficulties, and delayed diagnosis of multiple myeloma","volume":"15","author":"Zorlu","year":"2025","journal-title":"Diagnostics (Basel)"},{"key":"2026082207313452400_ref2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-052759","article-title":"Clinical features and diagnosis of multiple myeloma: a population-based cohort study in primary care","volume":"11","author":"Seesaghur","year":"2021","journal-title":"BMJ Open"},{"key":"2026082207313452400_ref3","author":"Albagoush","year":"2025"},{"key":"2026082207313452400_ref4","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4065\/78.1.21","article-title":"Review of 1027 patients with newly diagnosed multiple myeloma","volume":"78","author":"Kyle","year":"2003","journal-title":"Mayo Clin Proc"},{"key":"2026082207313452400_ref5","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.jss.2024.12.054","article-title":"Rare rib-originating solitary plasmacytoma: retrospective analysis and surgical outcomes","volume":"306","author":"Citak","year":"2025","journal-title":"J Surg Res"},{"key":"2026082207313452400_ref6","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1182\/blood-2017-03-774422","article-title":"Low expression of hexokinase-2 is associated with false-negative FDG-positron emission tomography in multiple myeloma","volume":"130","author":"Rasche","year":"2017","journal-title":"Blood."},{"key":"2026082207313452400_ref7","first-page":"PD20","article-title":"A rare case of multiple myeloma presenting As lytic lesion of the rib","volume":"10","author":"Sharma","year":"2016","journal-title":"J Clin Diagn 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