Multiple Myeloma in a Patient with Acromegaly

Acromegaly is a slowly progressing condition resulting from excess growth hormone (GH), generally caused by a GH-secreting pituitary adenoma. Cancer is the third most common cause of mortality in patients with acromegaly, and insulin-like growth factor 1 (IGF-1) is known to influence tumor formation...

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Main Authors: Yu Mi Kang, Jong Han Choi, Min Jung Lee, Ari Ahn, Chan-Jeoung Park, Kiju Chang, Seyoung Seo, Sun In Hong, Min-Seon Kim
Format: Article
Language:English
Published: Korean Endocrine Society 2015-03-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-30-110.pdf
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author Yu Mi Kang
Jong Han Choi
Min Jung Lee
Ari Ahn
Chan-Jeoung Park
Kiju Chang
Seyoung Seo
Sun In Hong
Min-Seon Kim
author_facet Yu Mi Kang
Jong Han Choi
Min Jung Lee
Ari Ahn
Chan-Jeoung Park
Kiju Chang
Seyoung Seo
Sun In Hong
Min-Seon Kim
author_sort Yu Mi Kang
collection DOAJ
description Acromegaly is a slowly progressing condition resulting from excess growth hormone (GH), generally caused by a GH-secreting pituitary adenoma. Cancer is the third most common cause of mortality in patients with acromegaly, and insulin-like growth factor 1 (IGF-1) is known to influence tumor formation by increasing cell proliferation and inhibiting apoptosis. Multiple myeloma (MM) is a plasma cell neoplasm, and previous studies have suggested the possible role of IGF-1 in its development of MM. However, no cases of acromegaly accompanied with MM have been reported in Asia to date. We here report the case of a 58-year-old woman with acromegaly accompanied with MM who presented with longstanding acromegalic manifestations resulting from a GH-secreting pituitary adenoma and also exhibited anemia, a reversed albumin/globulin ratio, and plasmacytosis on bone marrow examination. Because IGF-1 has been suggested to play an important role in the development and progression of MM, the patient promptly underwent surgical removal of the pituitary adenoma via a transsphenoidal approach. Since there is currently no consensus on therapeutic guidelines and suggested prognosis for MM with acromegaly, long-term follow-up of such cases is needed.
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spelling doaj.art-0a95a8eb87af449eaf76210689d439c02022-12-22T02:39:51ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782015-03-0130111011510.3803/EnM.2015.30.1.11020791Multiple Myeloma in a Patient with AcromegalyYu Mi KangJong Han ChoiMin Jung LeeAri AhnChan-Jeoung ParkKiju ChangSeyoung SeoSun In HongMin-Seon KimAcromegaly is a slowly progressing condition resulting from excess growth hormone (GH), generally caused by a GH-secreting pituitary adenoma. Cancer is the third most common cause of mortality in patients with acromegaly, and insulin-like growth factor 1 (IGF-1) is known to influence tumor formation by increasing cell proliferation and inhibiting apoptosis. Multiple myeloma (MM) is a plasma cell neoplasm, and previous studies have suggested the possible role of IGF-1 in its development of MM. However, no cases of acromegaly accompanied with MM have been reported in Asia to date. We here report the case of a 58-year-old woman with acromegaly accompanied with MM who presented with longstanding acromegalic manifestations resulting from a GH-secreting pituitary adenoma and also exhibited anemia, a reversed albumin/globulin ratio, and plasmacytosis on bone marrow examination. Because IGF-1 has been suggested to play an important role in the development and progression of MM, the patient promptly underwent surgical removal of the pituitary adenoma via a transsphenoidal approach. Since there is currently no consensus on therapeutic guidelines and suggested prognosis for MM with acromegaly, long-term follow-up of such cases is needed.http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-30-110.pdfAcromegalyMultiple myelomaInsulin-like growth factor I
spellingShingle Yu Mi Kang
Jong Han Choi
Min Jung Lee
Ari Ahn
Chan-Jeoung Park
Kiju Chang
Seyoung Seo
Sun In Hong
Min-Seon Kim
Multiple Myeloma in a Patient with Acromegaly
Endocrinology and Metabolism
Acromegaly
Multiple myeloma
Insulin-like growth factor I
title Multiple Myeloma in a Patient with Acromegaly
title_full Multiple Myeloma in a Patient with Acromegaly
title_fullStr Multiple Myeloma in a Patient with Acromegaly
title_full_unstemmed Multiple Myeloma in a Patient with Acromegaly
title_short Multiple Myeloma in a Patient with Acromegaly
title_sort multiple myeloma in a patient with acromegaly
topic Acromegaly
Multiple myeloma
Insulin-like growth factor I
url http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-30-110.pdf
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