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March 14, 1977

Myeloma and Other Neoplasia

Author Affiliations

University of Minnesota Minneapolis

JAMA. 1977;237(11):1078. doi:10.1001/jama.1977.03270380022006

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To the Editor.—  An editorial (236:1612, 1976) commented on articles in the same issue by Robins and Chopra (236:1609, 1976), R. Bell and colleagues (236:1609, 1976), and on the occurrence of multiple myeloma with other neoplasms. We wish to report another patient.

Report of a Case.—  A 67-year-old man was seen for the first time in March 1972, because he had bleeding from the rectum. In July 1970, a chest roentgenogram showed a mass in the right lower lung field. In the sputum, there were squamous epithelial cells that were strongly suggestive of malignant disease. A mediastinoscopy was negative for cancer. Because of severe, chronic obstructive pulmonary disease, a thoracotomy was not done, and the patient was treated with a total of 5,300 rads of60Co radiation therapy to the hilum and right lower lung.He did relatively well until early in 1972, when he began to feel weak