Fujita Motoki, Suzuki Issei, Mizuno Tomoya, Kobayashi Hiroyuki, Kambara Tsunehito
Urology, Nasu Red Cross Hospital, Otawara, JPN.
Hematology, Nasu Red Cross Hospital, Otawara, JPN.
Cureus. 2024 May 6;16(5):e59732. doi: 10.7759/cureus.59732. eCollection 2024 May.
This case report documents the diagnosis of multiple myeloma (MM) in a 74-year-old man following treatment for locally advanced prostate cancer. It is important to include MM in the differential diagnosis when the patient presents with nonspecific symptoms such as back pain, anemia, and renal impairment in the absence of a prominent increase in prostate-specific antigen (PSA). The present case was diagnosed as IgE MM with a poor prognosis. Prompt diagnosis and intervention of MM is necessary to avoid complications, including renal impairment.
本病例报告记录了一名74岁男性在接受局部晚期前列腺癌治疗后多发性骨髓瘤(MM)的诊断情况。当患者出现背痛、贫血和肾功能损害等非特异性症状且前列腺特异性抗原(PSA)无显著升高时,在鉴别诊断中纳入MM很重要。本病例被诊断为预后不良的IgE型MM。对MM进行及时诊断和干预对于避免包括肾功能损害在内的并发症很有必要。