Paraneoplastic syndrome of renal cell carcinoma.
We report a case of renal cell carcinoma who presented with the classic triad of flank pain, hematuria and fever as well as progressively developed multisystem disease, including a massive anteroseptal myocardial infarction. This was diagnosed as paraneoplastic syndrome of renal cell carcinoma and the decision to proceed with nephrectomy was taken after 3 weeks of acute myocardial infarction, despite predicted high cardiac risk under general anaesthesia; following removal of tumour, all symptoms and signs regressed. He has remained well till the time of last follow-up 4 months later.
Minai
Fauzia N
FN
Department of Anaesthesia and Intensive Care, The Aga Khan University Hospital, Karachi. fauzia_minai@hotmail.com
Monem
Abdul
A
D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010257:Paraneoplastic Syndromes / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery