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The Coexistence of Multiple Myeloma With Other Neoplasia

The Coexistence of Multiple Myeloma With Other Neoplasia To the Editor.— The Journal has recently created interest on the subject of myeloma and other neoplasia (236:1609, 1612, 1976; 237:1078, 1977). To these we would like to add a case with some unusual features. Report of a Case.— A 68-year-old man was seen in 1962 with weight loss, lethargy, diarrhea, and edema. He was anemic (hemoglobin level, 3.4 g/dl) and had a tender, hard, irregular colonic mass. Bone marrow histologic examination before blood transfusion showed features of multiple myeloma. The diagnosis was supported by heavy proteinuria and positive Osgood-Haskins test result, although results of protein electrophoresis were normal. Laparotomy was performed, and a large, firm, cecal mass was present with local glandular involvement. These lesions were removed and ileotransversostomy performed. Histologic examination showed moderately differentiated adenocarcinoma of the cecum. The lymph nodes examined showed extensive changes of reactive hyperplasia, but no secondary deposits were seen. The patient made a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

The Coexistence of Multiple Myeloma With Other Neoplasia

JAMA , Volume 240 (24) – Dec 8, 1978

The Coexistence of Multiple Myeloma With Other Neoplasia

Abstract



To the Editor.—
The Journal has recently created interest on the subject of myeloma and other neoplasia (236:1609, 1612, 1976; 237:1078, 1977). To these we would like to add a case with some unusual features.


Report of a Case.—
A 68-year-old man was seen in 1962 with weight loss, lethargy, diarrhea, and edema. He was anemic (hemoglobin level, 3.4 g/dl) and had a tender, hard, irregular colonic mass. Bone marrow histologic examination before blood transfusion showed features of...
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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1978.03290240030008
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— The Journal has recently created interest on the subject of myeloma and other neoplasia (236:1609, 1612, 1976; 237:1078, 1977). To these we would like to add a case with some unusual features. Report of a Case.— A 68-year-old man was seen in 1962 with weight loss, lethargy, diarrhea, and edema. He was anemic (hemoglobin level, 3.4 g/dl) and had a tender, hard, irregular colonic mass. Bone marrow histologic examination before blood transfusion showed features of multiple myeloma. The diagnosis was supported by heavy proteinuria and positive Osgood-Haskins test result, although results of protein electrophoresis were normal. Laparotomy was performed, and a large, firm, cecal mass was present with local glandular involvement. These lesions were removed and ileotransversostomy performed. Histologic examination showed moderately differentiated adenocarcinoma of the cecum. The lymph nodes examined showed extensive changes of reactive hyperplasia, but no secondary deposits were seen. The patient made a

Journal

JAMAAmerican Medical Association

Published: Dec 8, 1978

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