위선암이 병발한 다발성 골수종 1예
Multiple Myeloma Associated with Adenocarcinoma of the Stomach
소속 상세정보
안혜주/Hye Ju An
한경자/김원일/심상인/Kyung Ja Han/Won Il Kim/Sang In Shim
KMID : 0357919860200020191
Abstract
A case of multiple myeloma associated with adenocrcinoma of the stomach was
reviewd. A 59-year-old Korean man had been admitted to St. Mary's Hospital in
January 1984, with chief complaints of posterior neck pain, and intermittent headache for
one year prior to amission. Osteo lytic punched-out lesions were noted on skull and
other skeletal x-ray films.
Bone marrow aspirates revealed diffuse infiltration of mature and immature plasma
cells. Laboratory findings revealed anemia and Bence-Jones proteinuria.
Immunoelectrophoresis revealed findings consistent with IgA-lamda type multiple
myloma. Alkylating agents and steroids were tried with some clinical improvements. In
August 1985, the patient revisited outpatient clinic with chief complaints of epigastric
pain and neck mass.
Endoscopic biopsy and excision biopsy of the cervical lymph node were performed. By
microscopic examination, adenocarcinoma of the stomach and metastasis of multiple
myeoma to the supraclavicular lymph nodes were confirmed.
Subtotal gastrectomy was performed. By gross and microscopic examination,
adenocarcinoma of the stomach revealed metastasis to the regional lymph nodes.
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