Case Report

A Case of Multiple Myeloma Coexisting with Primary Hyperparathyroidism and Review of the Literature

Table 2


AuthorAge/ GenderType of MMCa (mg/dL)Therapy for MM and PHPTParathyroid histologyOutcome Initial diagnosis

1 Pest et al. [1]76 FIgA-?13.2Hydration, bisphosphonates, Lasix, melphalan, cyclophosphamide, and steroidsAdenomaSurvived PHPT
2 Rao et al. [2] 54 MIgG-lambda11.2Adriamycin, melphalan, prednisone, cyclophosphamide, and parathyroidectomyAdenomaDied after 12 yearsBoth
3 Jackson and Orland [3]45 FIgG-lambda17.1Hydration, Lasix, prednisone, and melphalanAdenomaMM
4 Chisholm et al. [4] 80 MKappa13.1Parathyroidectomy, radiotherapy, melphalan, prednisone, vincristine, carmustine, cyclophosphamide, hydration, and LasixAdenoma (c-cells)Died 2 years laterPHPT
5 Francis et al. [5] 70FLambda11.6Norethisterone, vincristine, melphalan, and prednisoneAdenomaDied 3 weeks laterPHPT
6 Mundis and kyle [6]76 FIgG-kappa11.0Melphalan, prednisone, and parathyroidectomyAdenoma (c-cells)survivedMM
7 Stone et al. [7]47 FIgA-kappa13.7Melphalan, prednisone, radiotherapy, parathyroidectomy, hydration, and mithramycinAdenomaDied MM
8 Hoelzer and Silverberg [8]51 FIgA-lambda11.9Parathyroidectomy?Adenoma (c-cells)PHPT
9 Schneider and Thomas [9]74 FIgG-kappa12.0Melphalan, prednisone, and parathyroidectomyAdenomaSurvived MM
10 Toussirot et al. [10]82 MKappa15.2Melphalan, prednisone, and parathyroidectomyHyperplasia DiedPHPT
11 Goto et al. [11]73 FKappa13.2Parathyroidectomy, melphalanAdenoma Died 1 year later PHPT
12 Otsuka et al. [12] 77 FIgG-lambdaMelphalan, prednisone, bisphosphonates, calcitonin, and parathyroidectomy c-cells hyperplasiaSurvived
13 Fery-Blanco et al. [13]68 FIgG-kappa11.28? chemotherapy and surgery refusedAdenomaDied Both
14 Sarfati et al. [14]62 FIgA-kappa16.4Mithramycin, lasix, plasmaphoresis, Adriamycin, vincristine, prednisone, and parathyroidectomy AdenomaSurvivedMM
15 Rosen et al. [15] 81 MIgG-kappa13.4Hydration, bisphosphonates, melphalan, prednisone, radiotherapy, needle aspiration of parathyroid gland, and refused surgery Adenoma SurvivedMM
16 Tomon et al. [16]60 FIGA-kappaMM
17 Fanari et al. [17] 59 Flambda12.7Hydration, bisphosphonates, cinacalcet, bortezomib and dexamethasonePossible AdenomaDied 4 months laterBoth
18 Bogas et al. [18]72 FIgG-kappa13.66Melphalan, prednisone, and Interferon?Adenoma Died 4 years laterBoth
19 Katayama et al. [19]50 FPHPT
20 Romagnoli et al. [20] 70 FParathyroidectomy, steroids and chemotherapyAdenomaPHPT (MEN-1)
21 Toh and Winocour et al. [21]71 M12.0Melphalan, prednisone, and bisphosphonatesDied 6 weeks later MM
22 Sope a et al. [22]77 FKappa (ns)12.9Bisphosphonates, refused surgery, or chemotherapyDied 1 year laterBoth
23 Khandwala and Boctor [23]72 F11.7/ 16.6*Parathyroidectomy, bisphosphonates, calcitonin, melphalan, and prednisoneAdenomaPHPT
24 Patel et al. [24]73 FIgG- kappa13.5Bisphosphonates, steroids, thalidomide, plicamycin, and parathyroidectomy AdenomaMM
25 Avcioglu et al. [25]52 FIgG-kappa12.6Parathyroidectomy and steroids Adenoma Both
26 Chowdhury and Scarsbrook et al. [26]87 FPHPT
27 Dalgleish and Gatenby [27] 59 FIgG-lambda 11.68Hydration, lasix, prednisone, mithramycin, cyclophosphamide, and parathyroidectomy Adenoma Survived MM
28 Peters et al. [28]73 MIgA-lambda 16Parathyroidectomy, chemotherapy, and radiotherapy Hyperplasia Died 1 week laterPHPT
29Our case 92 FIgG-kappa13 .3Bisphosphonates, Lasix, hydration, calcitonin, melphalan, prednisone, lenalidomide, and dexamethasoneSurvived Both
30 Johansson and Werner [29] mentioned 3 cases of MM and PHPT (no detail of the cases is given), one other such as has been described by Drezner and Lebovitz [30] without much detail.

Calcium at time of diagnosis of MM.