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Erythrocytosis caused by giant chromophobe renal cell carcinoma: a case report indicating a 9-year misdiagnosis of polycythemia vera

机译：巨大色团肾细胞癌引起的红细胞增多：一例报告，确诊为真性红细胞增多症9年

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摘要

Background:Erythrocytosis,a rare paraneoplastic syndrome,generally occurs in patients with clear cell renal cell carcinoma and has never been reported in patients with chromophobe renal cell carcinoma.Case presentation:We report a case of a young man suffering from a giant (22-cm) mass on his left kidney.Because of a history of polycythemia vera,the patient had been treated for the condition for 9 years.Radical nephrectomy was successfully performed,and the postoperative pathologic examination confirmed a diagnosis ofchromophobe renal cell carcinoma.Unexpectedly,the symptom of erythrocytosis disappeared after the surgery.Further examination and analysis were performed,and we finally attributed his erythrocytosis to chromophobe renal cell carcinoma.Conclusions:Chromophobe renal cell carcinoma could cause erythrocytosis,but the clear-cut mechanism needs further research.Secondary erythrocytosis such as those related with renal tumors should be taken into consideration during the diagnosis of polycythemia vera.
机译：背景：红细胞增多症是一种罕见的副肿瘤综合症，通常发生在透明细胞肾细胞癌患者中，而从未出现在发色团肾细胞癌患者中。病例报告：我们报道了一例患有巨人（22-病史已治疗9年。成功进行了根治性肾切除术，术后病理检查证实诊断为发色性肾细胞癌。手术后红细胞增多症的症状消失了，进行了进一步的检查和分析，最后将他的红细胞增多症归因于嗜铬肾细胞癌。结论：嗜铬肾细胞癌可引起红细胞增多症，但明确的机制尚需进一步研究。因为与肾肿瘤有关的那些应该在诊断过程中考虑真性红细胞增多症。

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  • 来源
    《癌症（英文版）》 |2017年第009期|438-443|共6页
  • 作者

    Renbo Guo; Yiran Liang; Lei Yan; Zhonghua Xu; Juchao Ren;

  • 作者单位

    Department of Urology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117, Shandong, P.R.China;

    Department of Breast Surgery, QiLu Hospital, Shandong University, Jinan 250012, Shandong, P.R.China;

    Department of Urology, QiLu Hospital, Shandong University, Jinan 250012,Shandong, P.R.China;

    Department of Urology, QiLu Hospital, Shandong University, Jinan 250012,Shandong, P.R.China;

    Department of Urology, QiLu Hospital, Shandong University, Jinan 250012,Shandong, P.R.China;

  • 收录信息 北京大学中文核心期刊目录(北大核心);中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
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  • 正文语种 eng
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