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Simultaneous occurrence of Hodgkin's lymphoma and multiple myeloma: A case report and review of the literature

机译:霍奇金淋巴瘤和多发性骨髓瘤同时发生:一例并文献复习

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Hodgkin's lymphoma (HL) is a type of hematological neoplasm that generally appears alone, with a low incidence. The majority of cases histopathologically present as B-cell lymphoma. Multiple myeloma (MM) is defined as the neoplastic proliferation of a single clone of plasma cells producing a monoclonal immunoglobulin (Ig). The coexistence of HL and MM is rare, however, the present study reports such a case. On May 31, 2012, a 45-year-old man was diagnosed with HL, stage III, 31 months ago. At the same time, computed tomography and magnetic resonance imaging showed osteolytic lesions, a significant increase in IgA lambda chains, and multiple myeloma cells on bone marrow aspiration. Following 8 cycles of chemotherapy, the patient received maintenance treatment with thalidomide and dexamethasone. During 2 years of follow-up, the patient has maintained a complete response for HL and a stable disease state for MM. The coexistence of HL and MM is rare. Further study of such cases may explain the associations between these two tumors and aid the production of effective treatment options.
机译:霍奇金淋巴瘤(HL)是一种血液肿瘤,通常单独出现,发生率低。在组织病理学上大多数病例表现为B细胞淋巴瘤。多发性骨髓瘤(MM)定义为产生单克隆免疫球蛋白(Ig)的浆细胞单个克隆的肿瘤增生。 HL和MM并存的情况很少,但是,本研究报道了这种情况。 31个月前,2012年5月31日,一名45岁的男性被诊断出患有HL,进入第三阶段。同时,计算机断层扫描和磁共振成像显示溶骨性病变,IgAλ链显着增加以及骨髓穿刺中的多发性骨髓瘤细胞。经过8个疗程的化疗后,患者接受了沙利度胺和地塞米松的维持治疗。在2年的随访中,患者对HL保持了完全缓解,而MM则保持了稳定的疾病状态。 HL和MM并存的情况很少。对此类病例的进一步研究可能解释了这两种肿瘤之间的关联,并有助于产生有效的治疗选择。

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