SECONDARY ANGIOTROPIC LARGE CELL LYMPHOMA IN PATIENT WITH MULTIPLE MYELOMA – A CASE REPORT
Abstract
Background. Seventy years old man presents with
low back pain, elevated eritrocite sedimentation rate, normocitic
anemia and elevated concentration of serum creatinine.
A diagnosis of multiple myeloma Ig G lambda was made. After
five cycles of chemotherapy he reached complete haematologic
remission and clinic well-being. After a month he complains
of new troubles, pains primarily of non-haematopoetic
organs involvement. With histologic examinations of target
organs amyloidosis was excluded, there were found elements
of infiltration with angiotropic Non Hodgkin B-cell lymphoma.
Conclusion. In patient with multiple myeloma in haematologic
remission and new symptoms and signs of primarily involvement
of non-haematopoetic organs we first think about amyloidosis.
Rarely but, there is a case, of second lymphoproliferative
disease.
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