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Gastrointestinal bleeding as an initial manifestation in asymptomatic multiple myeloma: A case report and review of the literature.
MedLine Citation:
PMID:  23255923     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Multiple myeloma (MM) is an uncommon type of malignant hematological neoplasm which, besides primarily involving the bone marrow, has a potent tendency to involve other organs and to present with various clinical manifestations. Involvement of the gastrointestinal (GI) system, particularly presenting with GI hemorrhage, in the course of MM is extremely rare. In the present study, we report a case of a middle-aged male who initially demonstrated GI bleeding and was finally diagnosed with MM. Further laboratory examinations, including analysis of globulin in the blood, bone marrow aspiration and radiogram, supported this diagnosis. This case may promote the possible involvement of plasma cell myeloma in the differential diagnosis of patients with unexplained and refractory GI bleeding. In this study we also present a thorough review of the literature with regard to the association between MM and GI hemorrhage.
Authors:
Maosong Lin; Jiayi Zhu; Hongzhang Shen; Junxing Huang
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-01
Journal Detail:
Title:  Oncology letters     Volume:  5     ISSN:  1792-1074     ISO Abbreviation:  Oncol Lett     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101531236     Medline TA:  Oncol Lett     Country:  -    
Other Details:
Languages:  ENG     Pagination:  218-220     Citation Subset:  -    
Affiliation:
Departments of Gastroenterology and.
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