[A case of renal cell carcinoma associated with idiopathic thrombocytopenic purpura].
A 29-year-old woman was referred to another hospital with complaints of bruising and ecchymosis and thrombocytopenia (12,000/microl) was pointed out. After some examinations, the patient was diagnosed with idiopathic thrombocytopenic purpura and was started on steroid therapy. Then the patient consulted our hospital and computerized tomography revealed a left renal tumor 4 cm in diameter. Under the diagnosis of left renal neoplasm we performed left nephrectomy and splenectomy with preoperative high-dose intravenous gammaglobulin treatment. Pathological examination revealed clear cell carcinoma. After the operation, the platelet count increased gradually. We should consider bleeding tendency by thrombocytopenia and side effect of long-term steroid treatment when we perform operations on patients with idiopathic thrombocytopenic purpura.
Yoshinaga
Atsushi
A
The Department of Urology, Saitama Medical Center, Saitama Medical School.
Hayashi
Tetsuo
T
Ohno
Rena
R
Yoshida
Soichiro
S
Ishii
Nobuyuki
N
Terao
Toshiya
T
Watanabe
Toru
T
Yamada
Takumi
T
D018262:Adenocarcinoma, Clear Cell / Q000209:etiology / Q000601:surgery*; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D002292:Carcinoma, Renal Cell / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000209:etiology / Q000601:surgery*; D009392:Nephrectomy; D010976:Platelet Count; D011239:Prednisolone / Q000008:administration & dosage; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000188:drug therapy; D013156:Splenectomy
D000893:Anti-Inflammatory Agents; D011239:Prednisolone