Case Report

Nivolumab Effective for Gastric and Lung Cancers but Not for Multiple Myeloma in a Multiple Primary Cancer Patient

Table 1

Laboratory data at the time of diagnosis of gastric cancer and lung cancer.

UnitsReference range

Hematology
WBC7,300μL4,000–9,000
Neut52%38.0–71.9
Eos2.0%0.2–6.8
Ba0.0%0.0–1.0
Mono8.0%2.3–7.7
Lymph38%26.0–46.6
RBC329×104/μL410–560
Hb11.1g/dL13.5–17.5
Ht33.5%40.0–53.0
MCV89.6fL80.0–100.0
Platelets20.1×104/μL14.0–40.0

Biochemistry
TP5.3g/dL6.7–8.3
Alb3.6g/dL4.0–5.0
T-bil0.4mg/dL0.3–1.2
AST16U/L13–33
ALT27U/L6–30
LDH243U/L119–229
γ-GTP106U/L10–47
BUN14.9mg/dL8.0–22.0
Cre0.86mg/dL0.60–1.10
Na142mmol/L138–146
K3.7mmol/L3.6–4.9
Cl110mmol/L99–109
Ca8.9mg/dL8.7–10.3
P3.1mg/dL2.5–4.7
IgG453mg/dL870–1700
IgA33mg/dL110–410
IgM21mg/dL35–220
IgD10.5mg/dL<9.0

Tumor markers
CEA2.4ng/mL<5.0
CYFRA1.4ng/mL<3.5
Pro-GRP66.6pg/mL<81.0

Urinalysis
Protein0.22g/gCr<0.15
RBC(—)
WBC(—)

WBC: white blood cells; Neut: neutrophils; Eos: eosinophils; Ba: basophils; Mono: monocytes; Lymph: lymphocytes; RBC: red blood cells; Hb: hemoglobin; Ht: hematocrit; MCV: mean corpuscular volume; TP: total protein; Alb: albumin; T-Bil: total bilirubin; AST: aspartate aminotransferase; ALT: alanine aminotransferase; LDH: lactate dehydrogenase; γ-GTP: gamma-glutamyl transpeptidase; BUN: blood urea nitrogen; Cre: creatinine; Na: sodium; K: potassium; Cl: chloride; Ca: calcium; P: phosphorus; IgG: immunoglobulin G; IgA: immunoglobulin A; IgM: immunoglobulin M; IgD: immunoglobulin D; CEA: carcinoembryonic antigen; CYFRA: cytokeratin-19; Pro-GRP: progastrin releasing peptide.