Melphalan治療により胃癌摘除可能であつた多発性骨髄腫の1例

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書誌事項

タイトル別名
  • A Case of Multiple Myeloma Associated with Operated Stomach Cancer
  • Melphalan治療により胃癌摘除可能であった多発性骨髄腫の1例
  • Melphalan チリョウ ニ ヨリ イガンテキジョカノウ デ アッタ タハツセイ コツズイシュ ノ 1レイ

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A 58-years-old male patient was admitted to the Chukyo Hospital with the complaint of severe lumbago and anemia.<br>IgA-λ type multiple myeloma was diagnosed for him by the presence of M-component as revealed by serum electrophoresis on cellulose acetate membrane and agar gel immunoelectrophoresis, and of the plasma cell proliferation in bone marrow.<br>The patient responded excellently to melphalan treatment with disappearance of lumbago and decrease of serum M-component and bone marrow plasma cells. Stomach cancer was found later, though without apparent abdominal distress, by upper gastrointestinal fluoroscopy which was performed to examine the cause of continued presence of feces occult blood. He was operated for the stomach cancer because of good course of multiple myelom. The extirpated tumor was of size with diameters of 5.5 and 6.5 cm having ulceration (Borrmann, type III), and adenocarcinoma with scanty plasma cell proliferation was diagnosed by histologic examination.<br>The association and relationship between mulitple myeloma and cancer were reviewed and prognostic significance of operation of cancer in the course of multiple myeloma was discussed.

収録刊行物

  • 臨床血液

    臨床血液 14 (6), 714-720, 1973

    一般社団法人 日本血液学会

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