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Abstract Waldenström macroglobulinemia (WM) is a rare type of B-cell lymphoma characterized by lymphoplasmacytic infiltration in the bone marrow and elevated serum monoclonal immunoglobulin M (IgM). Pathological bone-destructive lesions are exceedingly uncommon in this disease. Cases of WM presenting initially with lumbar vertebral fractures have been sporadically reported in clinical practice.
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