Korean J Hematol 2004; 39(3):

Published online September 30, 2004

© The Korean Society of Hematology

다발성골수종과 비형 NK/T 세포 림프종이 병발한 1례

이원식

창원파티마병원 내과

A Case of Coincident Multiple Myeloma and Nasal NK/T-Cell Lymphoma

Won Sik Lee

Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea

Abstract

The coexistence of non-Hodgkin´s lymphoma and multiple myeloma is very rare and the coexistence of nasal NK/T-cell lymphoma and multiple myeloma has never been reported in the literature. Recently, a 63-year-old woman was presented with small amount of hematemesis. Bone marrow showed increased immature plasma cell (72.5%). Serum protein electrophoresis showed monoclonal gammopathy (6.5g/dL). Serum immunoelectrophoresis showed IgG and kappa type monoclonality. Microscopic examination of left nasopharynx and inferior turbinate revealed nasal NK/T-cell lymphoma. Six cycles of CHOP (cyclophosphamide, daunomycin, vincristine, prednisone) chemotherapy induced the complete remission of both tumors, but died of cerebral involvement of NK/T-cell lymphoma in 12 months after the diagnosis.

Keywords Coexistence, Multiple Myeloma, Nasal NK/T-cell lymphoma, Non-Hodgkin´s Lymphoma

Article

Korean J Hematol 2004; 39(3): 182-185

Published online September 30, 2004

Copyright © The Korean Society of Hematology.

다발성골수종과 비형 NK/T 세포 림프종이 병발한 1례

이원식

창원파티마병원 내과

A Case of Coincident Multiple Myeloma and Nasal NK/T-Cell Lymphoma

Won Sik Lee

Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea

Abstract

The coexistence of non-Hodgkin´s lymphoma and multiple myeloma is very rare and the coexistence of nasal NK/T-cell lymphoma and multiple myeloma has never been reported in the literature. Recently, a 63-year-old woman was presented with small amount of hematemesis. Bone marrow showed increased immature plasma cell (72.5%). Serum protein electrophoresis showed monoclonal gammopathy (6.5g/dL). Serum immunoelectrophoresis showed IgG and kappa type monoclonality. Microscopic examination of left nasopharynx and inferior turbinate revealed nasal NK/T-cell lymphoma. Six cycles of CHOP (cyclophosphamide, daunomycin, vincristine, prednisone) chemotherapy induced the complete remission of both tumors, but died of cerebral involvement of NK/T-cell lymphoma in 12 months after the diagnosis.

Keywords: Coexistence, Multiple Myeloma, Nasal NK/T-cell lymphoma, Non-Hodgkin´s Lymphoma

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