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Original Article
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Korean J Med. 2014;87(1):53-60. Published online July 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.1.53
- 외래에서 철 결핍 빈혈로 진단된 남자 환자의
악성 종양 유병률과 연관인자
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이병현1, 이재중1, 심재겸1, 김정선1, 김대식1, 박세종2, 이세련1, 박 용1, 최철원1, 김병수1
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1고려대학교 의과대학 내과학교실
2G샘통합암병원 혈액종양내과
- Prevalence of and Factors Associated with Malignancy in Males with
Iron-Deficiency Anemia
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Byung Hyun Lee1, Jae Joong Lee1, Jae Kyeom Sim1, Jung Sun Kim1, Dae Sik Kim1, Seh Jong Park2, Se Ryeon Lee1, Yong Park1, Chul Won Choi1, Byung Soo Kim1
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1Department of Internal Medicine, Korea University Medical Center, Seoul
2Department of Hemato-oncology, G SAM Integrative Cancer Hospital, Gunpo, Korea
- Corresponding author: Chul Won Choi ,
- Received: September 9, 2013; Revised: October 18, 2013 Accepted: October 31, 2013.
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- Abstract
- Background/Aims: Despite several reports on clinical aspects of anemia and malignancy, little is known of male patients with
iron-deficiency anemia (IDA) and malignancy in Korea. We examined the cause of anemia, prevalence of and factors associated
with malignancy, and treatment response to iron therapy in male IDA patients.
Methods
The results of 202 males with IDA seen from March 2008 to June 2013 were analyzed retrospectively. The patients were
divided into two groups based on the causes of anemia: the cancer group included patients with anemia caused by malignancy and
the non-cancer group included patients with anemia due to other causes. We compared the clinical characteristics and response to
iron therapy between the two groups.
Results
The most common cause of IDA was bleeding (42.6%). The prevalence of malignancy was 11.9%, with colorectal cancer
(58.3%) being the most common. Among the cancer patients (n = 24), 22 patients (91.7%) were age 50 or older. Independent factors
associated with malignancy were old age (OR, 1.05; p = 0.026) and a positive stool occult blood test (OR, 7.48; p = 0.001). The
treatment response to iron therapy based on a normalized hemoglobin level was lower in the cancer group (OR, 0.49; p = 0.31), but
the difference did not reach statistical significance. The treatment response based on the mean hemoglobin level was significantly
lower in the cancer group (12.6 ± 2.2 vs. 13.8 ± 1.6 g/dL, p = 0.016).
Conclusions
Old age and a positive stool occult blood test were independent risk factors for malignancy in male IDA patients. We
recommend screening for malignancy in patients older than 50 years or with a positive stool occult blood test.
Keywords :Anemia, Iron-Deficiency, Male, Neoplasms, Prevalence
