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Current problems in cancer v.41 no.6, 2017년, pp.413 - 418   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Synchronous colorectal cancer and multiple myeloma with chest wall involvement: Is this a coincidence?

Li, Qiu-Li (Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, China ) ; Ma, Jin-An (Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, China ) ; Li, Hai-Peng (Depatment of Neurology, The First People's Hospital of Chenzhou, University of South China, Chenzhou, China ) ; Huang, Ren-Bing (Depatment of Neurology, The First People's Hospital of Chenzhou, University of South China, Chenzhou, China ) ; Hu, Chun-Hong (Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, China ) ; Liu, Xian-Ling (Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, China ) ; Gao, Ya-Wen (Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, China ) ; Feng, Gang-Hua (Depatment of Neurology, The First People's Hospital of Chenzhou, University of South China, Chenzhou, China ) ; Wu, Fang (Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, China ) ;
  • 초록  

    Abstract Multiple primary malignant neoplasms (MPMNs) are rare malignant neoplasms that simultaneously or successively occur in the same patient as 2 or more primary malignancies. Currently, an increasing number of cases are being reported. In general, MPMNs more commonly occur as 2 solid tumors or 2 hematological malignancies. Cases of MPMN that involve a solid tumor and a hematological malignancy are rare. Here, we report a case of synchronous colorectal cancer (CRC) and multiple myeloma (MM) with chest wall involvement. After reviewing the literature, we believe that there may be a distinct syndrome involving CRC and MM. The patient in our case study suffered refractory anemia following surgery and 2 cycles of chemotherapy. Initially, the anemia was considered to be a common manifestation of CRC in this patient. Interestingly, although he received a blood transfusion, his hemoglobin levels remained low. He later developed hematuria, proteinuria, multiple osteoporosis in the costal bones, and thrombocytopenia. These new symptoms drew our attention, and we considered a diagnosis of synchronous primary CRC and MM, with the anemia as a symptom of MM. Based on the results of a bone marrow aspirate, MM was confirmed. Therefore, when CRC is associated with refractory anemia, we should not only assume that anemia is a classical symptom of CRC, a result of chronic blood loss, nutritional deficiencies, or myelosuppression due to chemotherapy, but we should also consider that it may reflect the possibility of a coexisting hematologic malignancy. As the treatment of these 2 malignancies is different, early diagnosis and treatment based on definitive diagnosis as early as possible will be beneficial to overall prognosis.


  • 주제어

    Multiple primary malignant neoplasms .   Colorectal cancer .   Multiple myeloma .   Anemia.  

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