COINCIDENTAL POLYCYTHEMIA-VERA AND MULTIPLE-MYELOMA - CASE-REPORT AND REVIEW

被引:17
作者
FINK, L
BAUER, F
PERRY, JJ
机构
[1] WAKE FOREST UNIV,BOWMAN GRAY SCH MED,CTR COMPREHENS CANC,WINSTON SALEM,NC 27103
[2] UNIFORMED SERV UNIV HLTH SCI,DEPT MED,BETHESDA,MD 20814
[3] WALTER REED ARMY MED CTR,DEPT MED,HEMATOL ONCOL SERV,WASHINGTON,DC 20307
[4] WALTER REED ARMY MED CTR,DEPT PATHOL & LAB MED,WASHINGTON,DC 20307
关键词
POLYCYTHEMIA VERA; MULTIPLE MYELOMA; ERYTHROID SUPPRESSION;
D O I
10.1002/ajh.2830440311
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Polycythemia vera (PCV) and multiple myeloma are both clonal disorders of hematopoietic stem cells. The simultaneous occurrence of these diseases in an individual patient is rare. A case of synchronous PCV and smoldering myeloma is presented and the literature is reviewed. The issues of clinical importance in this unusual case include the mechanisms of anemia in multiple myeloma, the difficulty in using anemia as a parameter on which to base the initiation of therapy for myeloma, and the risks of treatment-induced leukemia and myelodysplasia. (C) 1993 Wiley-Liss, Inc.*
引用
收藏
页码:196 / 200
页数:5
相关论文
共 32 条
[21]  
HEINLE EW, 1966, ARCH INTERN MED, V6118, P351
[22]   SMOLDERING MULTIPLE-MYELOMA [J].
KYLE, RA ;
GREIPP, PR .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 302 (24) :1347-1349
[23]   MULTIPLE MYELOMA ASSOCIATED WITH POLYCYTHEMIA - REPORT OF 4 CASES [J].
LAWRENCE, JH ;
ROSENTHAL, RL .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1949, 218 (02) :149-154
[24]   ERYTHROPOIETIN TREATMENT OF ANEMIA ASSOCIATED WITH MULTIPLE-MYELOMA [J].
LUDWIG, H ;
FRITZ, E ;
KOTZMANN, H ;
HOCKER, P ;
GISSLINGER, H ;
BARNAS, U .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (24) :1693-1699
[25]   POLYCYTHEMIA ASSOCIATED WITH MYELOMA [J].
MAEDA, K ;
ABRAHAM, J .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1984, 82 (04) :501-505
[26]  
NAJEAN Y, 1988, CANCER, V61, P89, DOI 10.1002/1097-0142(19880101)61:1<89::AID-CNCR2820610115>3.0.CO
[27]  
2-0
[28]   LEUKEMIC TRANSFORMATION IN POLYCYTHEMIA-VERA - ANALYSIS OF RISK-FACTORS [J].
NAND, S ;
MESSMORE, H ;
FISHER, SG ;
BIRD, ML ;
SCHULZ, W ;
FISHER, RI .
AMERICAN JOURNAL OF HEMATOLOGY, 1990, 34 (01) :32-36
[29]   MULTIPLE-MYELOMA [J].
OKEN, MM .
MEDICAL CLINICS OF NORTH AMERICA, 1984, 68 (03) :757-787
[30]  
SPICKARD A, 1960, B JOHNS HOPKINS HOSP, V107, P234