AMYLASE-PRODUCING BENCE-JONES MULTIPLE-MYELOMA WITH PANCREATITIS-LIKESYMPTOMS

Amylase-producing tumors are mainly adenocarcinomas and, in rare insta nces, multiple myelomas. We describe here a first case of amylase-prod ucing Bence Jones type myeloma with pancreatitis-like symptoms and the second in a Caucasian patient. The finding of salivary-type hyperamyl asemia in a 72-year-old female with a possible pancreatitis made us su spect the diagnosis. Amylase production was observed in bone marrow cu ltures in which 96% of cellularity was composed of plasmablasts. Serum amylase level decreased when chemotherapy was given.