Medical Journal of Dr. D.Y. Patil Vidyapeeth

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 7  |  Issue : 4  |  Page : 454--457

Investıgatıon of malignancy in diabetic patients with anemia


Selcuk Yaylaci1, Ahmet Bilal Genc2, Mustafa Volkan Demir3, Hakan Cinemre4, Mustafa Ýhsan Uslan5, Ali Tamer4 
1 Department of Internal Medicine, Findikli State Hospital, Rize, Turkey
2 Department of Internal Medicine, Taslišay State Hospital, Agri, Turkey
3 Department of Internal Medicine, Malatya State Hospital, Malatya, Turkey
4 Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
5 Department of Gastroenterology, Faculty of Medicine, Sakarya University, Sakarya, Turkey

Correspondence Address:
Selcuk Yaylaci
Department of Internal Medicine, F?nd?kl? State Hospital, Rize
Turkey

Introduction: The etiology of anemia is multifactorial in diabetes and covers inflammation, diabetes, nutritional deficiencies, autoimmune diseases, medications and hormonal changes, in addition to the kidney diseases or may be malignancy. In this study, it was aimed to study the profile of the malignancy in patients with type 2 diabetes mellitus (DM) and anemia. Materials and Methods: The files of the follow-up patients with type 2 diabetes were retrospectively reviewed and 103 patients with type 2 DM and anemia were included in the study. The demographic, hematological and biochemical analysis of the data was performed in the diabetic patients with anemia. The frequency of malignancy in diabetic patients with anemia, the etiology of malignancy, the relationship between the presence of malignancy and anemia type and depth, biochemical parameters in the determination of malignancy, the effects of endoscopic and imaging methods, the presence of anemia in patients without malignancy and the effect of in-depth glomerular filtration rate were investigated. Results: The iron deficiency anemia (69.9%) was the most common. Malignancy was found in 11 of the 103 patients (10.7%). 2 patients (1.9%) had stomach cancer, 4 patients (6.3%) had colon cancer in endoscopic procedures. In computerized tomography images, 5 patients were found to be malignant in addition to the stomach and colon cancer. The erythrocyte sedimentation rate was significantly higher in the group with malignancy. No correlation was found between malignancy and anemia type and depth. Conclusion: Screening for malignancy should be considered in diabetic patients with anemia, especially in patients with elevated erythrocyte sedimentation rate, regardless of the type and depth of the anemia. In addition, tomography should be recommended for malignancy screening in diabetic patients with anemia that have a normal gastrointestinal examination.


How to cite this article:
Yaylaci S, Genc AB, Demir MV, Cinemre H, Uslan M&, Tamer A. Investıgatıon of malignancy in diabetic patients with anemia.Med J DY Patil Univ 2014;7:454-457


How to cite this URL:
Yaylaci S, Genc AB, Demir MV, Cinemre H, Uslan M&, Tamer A. Investıgatıon of malignancy in diabetic patients with anemia. Med J DY Patil Univ [serial online] 2014 [cited 2021 Oct 26 ];7:454-457
Available from: https://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=4;spage=454;epage=457;aulast=Yaylaci;type=0