上顎癌とIgG骨髄腫の合併した1症例
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A 78-year-old woman visited our hospital on October 9, 1979 with complaints of cheek swelling on the left side and nasal bleeding.On examination she was found to have an obvious appearance of maxillary cancer. Histologic examination of the lesion showed squamous cell carcinoma.On the other hand, serum electrophoresis of the patient showed total protein of 8.9g/dl, with a broad peak in the gamma region. The IgG level was 4, 169mg/dl, the IgA level, 174mg/dl and the IgM level, 67mg/dl. Her serum reacted to anti sera. The Bence-Jones protein was negative. Bone marrow aspiration showed 11.6% abnormal plasma cells.Since the first report of Sugizima (1963), many cases of stomach cancer coexistent with multiple myeloma have been reported. However, combination of maxillary cancer and multiple myeloma in the same patient is rare. Therefore, the present case was described in detail with a discussion of the relationship between multiple myeloma and cancer from the immunological standpoint.
- 耳鼻咽喉科臨床学会の論文
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