Chinese Clinical Oncology

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Multiple myeloma associated with hepatitis B virus infection: a clinical observation

NI Fang, LIU Yanyan, WU Zhiqi, JIANG Li, LIU Lianke   

  1. Department of Laboratory Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2013-03-25 Revised:2013-05-10 Online:2013-09-30 Published:2013-09-30
  • Contact: LIU Lianke

Abstract: Objective To explore the infection status of hepatitis B virus(HBV) in multiple myeloma(MM) and clinical characteristics of HBV surface antigen(HBsAg)-positive MM patients. Methods The serologic markers of hepatitis B virus(HBV)was detected in 196 patients with MM and 48 697 cases of healthy controls by an enzymelinked immunosorbent assay(ELISA). The serum concentration of HBV-DNA was determined by polymerase chain reaction(PCR). Results Five out of 196 MM patients(2.6%)were HBsAg-positive, showing no difference with health controls(3.4%). The HBV serologic markers in five HBsAgpositive MM patients were all HBsAg-, HBeAb- and HBcAb-positive. Two patients'HBV-DNA copy number>1000, and lamivudine was given. Five patients were given antiMM treatment,and no one showed abnormal liver function and HBV activation. Conclusion There was no correlation between MM and HBV infection. The effect of anti-MM treatment on the HBV activation and liver function might not be apparent,and it needs to be further studied.

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