FINE-NEEDLE ASPIRATION BIOPSY OF MULTIPLE-MYELOMA IN A PATIENT WITH RENAL-CELL CARCINOMA - A CASE-REPORT

被引:6
作者
COOPER, GL
SHAFFER, DW
RAVAL, HB
机构
[1] Departments of Pathology, Cytology Section and Internal Medicine, Hematology-Oncology Section, Brooke Army Medical Center, Houston, Texas, Fort Sam
关键词
RENAL-CELL CARCINOMA; MULTIPLE MYELOMA; FINE-NEEDLE ASPIRATION BIOPSY; MULTIPLE PRIMARY NEOPLASM;
D O I
10.1002/dc.2840090516
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
A case of multiple myeloma diagnosed by fine-needle aspiration (FNA) biopsy and confirmed by laboratory studies in a patient with a history of renal-cell carcinoma is presented. The patient was diagnosed with renal-cell carcinoma of the right kidney and a radical nephrectomy was performed. Eighteen months after this diagnosis was made, the patient developed chest wall pain and was found to have osteolytic bone lesions of the ribs and vertebral bodies. FNA of an osteolytic rib lesion disclosed multiple myeloma. Additional laboratory studies confirmed the diagnosis of multiple myeloma. This case report demonstrates the value of FNA as a diagnostic tool for the follow-up of cancer patients, the subsequent discrimination between metatastic lesions and a second primary malignancy, and the cytology of multiple myeloma. (C) 1993 Wiley-Liss, Inc.
引用
收藏
页码:551 / 554
页数:4
相关论文
共 17 条
[1]  
Law ID, Blom J, Second malignancies in patients with multiple myeloma, Oncology, 34, pp. 20-24, (1977)
[2]  
Nguyen G-K, Fine needle aspiration biopsy of metastatic renal‐cell carcinoma, Acta Cytol, 32, pp. 409-414, (1988)
[3]  
Peterson RO, Urologic pathology, pp. 87-109, (1986)
[4]  
Moertel CG, Dockery MB, Baggenstoss AH, Multiple primary malignant neoplasms. I. Introduction and presentation of data, Cancer, 14, pp. 221-230, (1961)
[5]  
Watson TA, Incidence of multiple cancer, Cancer, 6, pp. 365-371, (1953)
[6]  
Cotran RS, Kumar V, Robbins SL, Robbins pathologic basis of disease, 140, pp. 239-305, (1989)
[7]  
Weitzel RA, Carcinoma coexistent with malignant disorders of plasma cells. An autopsy survey, Cancer, 11, pp. 546-549, (1958)
[8]  
Berg JW, The incidence of multiple primary cancers. I. Development of further cancers in patients with lymphomas, leukemias, and myeloma, JNCI, 38, pp. 741-752, (1967)
[9]  
Kapadia S, Multiple myeloma: a clinicopathologic study of 62 consecutively autopsied cases, Medicine, 59, pp. 380-393, (1980)
[10]  
Kyle R, Multiple myeloma. Review of 869 cases, Mayo Clin Proc, 50, pp. 29-40, (1975)