RESUMO
An unusual case of multiple myeloma in an 88-year-old patient is described. Besides skeletal involvement, there was myeloma of the thoracic and abdominal lymph nodes and of the liver and pancreas. In the pancreas, the myeloma extensively involved the head and body, and on computerized tomography scan was suggestive of a pancreatic carcinoma. The myeloma caused extrinsic compression of the common bile duct, resulting in severe jaundice and hepatic and renal failure. To the author's knowledge this is the second such case of pancreatic myeloma causing extrahepatic biliary obstruction.
Assuntos
Colestase Extra-Hepática/etiologia , Hepatopatias/etiologia , Mieloma Múltiplo/complicações , Neoplasias Pancreáticas/complicações , Injúria Renal Aguda/etiologia , Idoso , Humanos , Masculino , Mieloma Múltiplo/patologia , Neoplasias Pancreáticas/patologiaRESUMO
A case of in-situ and "micro invasive" carcinoma of the colon is reported in a patient who was neither a member of familial polyposis nor had suffered from ulcerative colitis. The in-situ and "micro-invasive" areas were seen in the flat otherwise non-raised mucosa of the colon remote from a large fungating carcinoma. Similar foci were also observed in random sections distal to the large mass. This is the first report of an in-situ and "micro-invasive" carcinoma of colon in a "non-ulcerative colitis" individual.