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一例以反复腹痛为首发症状的罕见病例:累及结肠的AL型淀粉样变性合并肺腺癌
Authors Wei J , Hu Y, Lu C , Hu M, Wang Q
Received 27 July 2024
Accepted for publication 28 December 2024
Published 4 January 2025 Volume 2025:18 Pages 53—59
DOI https://doi.org/10.2147/JIR.S488876
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Tara Strutt
Jiaojiao Wei, Yibing Hu, Chong Lu, Minli Hu, Qunying Wang
Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, People’s Republic of China
Correspondence: Qunying Wang, Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, People’s Republic of China, Email wqy616717@126.com
Background: Amyloidosis combined with lung cancer is a rare occurrence. To date, there are no reported cases of amyloid light-chain(AL) amyloidosis solely affecting the colon combined with pulmonary adenocarcinoma.
Case Summary: Here, we describe a case of a 66-year-old woman who presented with recurrent abdominal pain and was eventually diagnosed with AL amyloidosis with colon involvement and pulmonary adenocarcinoma. We also review the relevant literature and discuss the relationship between amyloidosis and lung malignancies. Significantly, lung cancer may contribute to the deposition of amyloid through paraneoplastic mechanisms. And in published case reports, the pathological type of lung cancer associated with AL amyloidosis was all adenocarcinoma.
Conclusion: Such cases are rare but provide new insights into the relationship between amyloidosis and lung malignancies. The mechanism of amyloid protein deposition in relation to lung cancer or malignancies remains unknown, further research in this field is warranted.
Keywords: amyloidosis, adenocarcinoma, lung cancer, comorbidity