Co-occurrence of myeloid neoplasm and plasma cell neoplasm

Co-occurrence of myelodysplastic syndrome (MDS) and plasma cell neoplasm in patients with no history of chemo and/or radiotherapy is rarely reported. Herein, we report a case of a female in her seventieth decade of life who was referred to the hospital for pancytopenia. The patient was asymptomatic...

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Main Authors: Husam Jum’ah, Yan Wang, Salman Ayub
Format: Article
Language:English
Published: University of São Paulo 2022-07-01
Series:Autopsy and Case Reports
Subjects:
Online Access:https://www.revistas.usp.br/autopsy/article/view/200307
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author Husam Jum’ah
Yan Wang
Salman Ayub
author_facet Husam Jum’ah
Yan Wang
Salman Ayub
author_sort Husam Jum’ah
collection DOAJ
description Co-occurrence of myelodysplastic syndrome (MDS) and plasma cell neoplasm in patients with no history of chemo and/or radiotherapy is rarely reported. Herein, we report a case of a female in her seventieth decade of life who was referred to the hospital for pancytopenia. The patient was asymptomatic and was doing well overall. Serum protein electrophoresis was remarkable for a lambda-restricted monoclonal protein (IgG) estimated at 1.8g/dL. Immunoglobulin G serum level was also elevated, and serum Kappa/Lambda free light chain ratio was decreased. At that time, a bone marrow biopsy showed myelodysplastic syndrome with excess blasts-2 (MDS-EB2) and a monoclonal plasma cell proliferation. Some studies have shown that patients with plasma cell neoplasm could be associated with an increased risk of developing MDS compared to the general population. Based on reviewing the literature, to our knowledge, the pathological mechanism of the co-occurrence of both diseases is not yet clear.
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spelling doaj.art-3377ea97d29e42259e77e6f8bac3a0de2022-12-22T00:45:39ZengUniversity of São PauloAutopsy and Case Reports2236-19602022-07-0112Co-occurrence of myeloid neoplasm and plasma cell neoplasmHusam Jum’ah0Yan Wang1Salman Ayub2MetroHealth Medical Center, Department of Pathology, Cleveland, Ohio, USAMetroHealth Medical Center, Department of Pathology, Cleveland, Ohio, USAMetroHealth Medical Center, Department of Pathology, Cleveland, Ohio, USA Co-occurrence of myelodysplastic syndrome (MDS) and plasma cell neoplasm in patients with no history of chemo and/or radiotherapy is rarely reported. Herein, we report a case of a female in her seventieth decade of life who was referred to the hospital for pancytopenia. The patient was asymptomatic and was doing well overall. Serum protein electrophoresis was remarkable for a lambda-restricted monoclonal protein (IgG) estimated at 1.8g/dL. Immunoglobulin G serum level was also elevated, and serum Kappa/Lambda free light chain ratio was decreased. At that time, a bone marrow biopsy showed myelodysplastic syndrome with excess blasts-2 (MDS-EB2) and a monoclonal plasma cell proliferation. Some studies have shown that patients with plasma cell neoplasm could be associated with an increased risk of developing MDS compared to the general population. Based on reviewing the literature, to our knowledge, the pathological mechanism of the co-occurrence of both diseases is not yet clear. https://www.revistas.usp.br/autopsy/article/view/200307Myelodysplastic SyndromesMonoclonal Gammopathy of Undetermined SignificanceSmoldering Multiple MyelomaBone MarrowPancytopenia
spellingShingle Husam Jum’ah
Yan Wang
Salman Ayub
Co-occurrence of myeloid neoplasm and plasma cell neoplasm
Autopsy and Case Reports
Myelodysplastic Syndromes
Monoclonal Gammopathy of Undetermined Significance
Smoldering Multiple Myeloma
Bone Marrow
Pancytopenia
title Co-occurrence of myeloid neoplasm and plasma cell neoplasm
title_full Co-occurrence of myeloid neoplasm and plasma cell neoplasm
title_fullStr Co-occurrence of myeloid neoplasm and plasma cell neoplasm
title_full_unstemmed Co-occurrence of myeloid neoplasm and plasma cell neoplasm
title_short Co-occurrence of myeloid neoplasm and plasma cell neoplasm
title_sort co occurrence of myeloid neoplasm and plasma cell neoplasm
topic Myelodysplastic Syndromes
Monoclonal Gammopathy of Undetermined Significance
Smoldering Multiple Myeloma
Bone Marrow
Pancytopenia
url https://www.revistas.usp.br/autopsy/article/view/200307
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AT yanwang cooccurrenceofmyeloidneoplasmandplasmacellneoplasm
AT salmanayub cooccurrenceofmyeloidneoplasmandplasmacellneoplasm