Patient with immunoproliferative disease and lung carcinoma: a case report.
There are a number of reports on collision occurrence of non-hematologic cancers and Non-Hodgkin's lymphoma (NHL) and multiple myeloma. In this report we present a case of patient with immunoproliferative disease, extramedullary plasmocytoma and NHL-lymphoplasmocytoid lymphoma (LPL) and squamous cell carcinoma of the lung. After diagnosis of extramedullary plasmocytoma cytostatic therapy was commenced and the patient was well. Five years after patient was clinically worse and diagnostic evaluation this time revealed lymphoplasmocytoid cells in bone marrow. Five months later malignant morphologically undifferentiated cells were found in bone marrow which were by immunocytochemistry established as CD38 positive. After the patient's death, disseminated NHL-LPL and squamous cell carcinoma of lung was confirmed. In the report, we compared clinical course and diagnostic findings of our patient with literature data. We have also discussed the possible relationship of multiple B-cell lymphoid tumors and squamous cell carcinoma concluding that multidiscplinary diagnostic tools are essential not only for carcinoma diagnosis and follow-up, but also for further understanding of carcinogenesis.
Radman
Ivo
I
Department of Hematology of Clinics for Internal Diseases, Zagreb University Clinical Hospital Center and School of Medicine, Zagreb, Croatia.
Sucić
Mirna
M
Serventi-Seiwerth
Ranka
R
Boban
Dubravka
D
Marković-Glamocak
Mirjana
M
Ries
Suncica
S
Gjadrov-Kuvezdić
Koraljka
K
Petković
Drazen
D
Jakić-Razumović
Jasminka
J
Sćukanec-Spoljar
Mira
M
Seiwerth
Sven
S
Sucić
Zvonimir
Z
Papa
Jurica
J
D000368:Aged; D001853:Bone Marrow / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology*; D006801:Humans; D007668:Kidney / Q000473:pathology; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000150:complications / Q000473:pathology*; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000473:pathology*; D008297:Male; D010954:Plasmacytoma / Q000150:complications / Q000473:pathology