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Case Reports
. 1996:523:259-62.

A case of non-Hodgkin's lymphoma with macroglobulinemia

K Abe  1 , Y Hori, S Y Ohtsu, Y Koike
Affiliations
  • PMID: 9082801
Case Reports

A case of non-Hodgkin's lymphoma with macroglobulinemia

K Abe et al. Acta Otolaryngol Suppl. 1996.

Abstract

A case of non-Hodgkin's lymphoma with macroglobulinemia is reported. A 48-year-old man consulted our hospital with complaints of dysphagia and sleep apnea. On the first examination, degree III hypertrophy of tonsils, Bence-Jones protein of K-type on urinalysis, and an M-peak in the gamma-glb. Beta-glb areas on fractionation of protein were found. Of serum immunoglobulins, IgM was increased markedly with 3,946 mg/dl and about 30% atypical lymphocytes were noted in the bone marrow. Bilateral tonsillectomy was carried out. The diagnosis of malignant lymphoma, non-Hodgkin, follicular, medium-sized cell type, B cell (sm IgM, K) was made by immunostaining of tissues. Chemotherapy was made after operation, and IgM levels decreased gradually. At present, the patient is following a satisfactory postoperative course, showing no swelling of tonsil.

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