title: A case of leukemoid reaction in a patient with sarcomatous hepatocellular carcinoma.
abstract: A leukemoid reaction is defined as reactive leukocytosis exceeding 50,000/mm(3), with a significant increase in early neutrophil precursors, and can be a paraneoplastic manifestation of various malignant tumors. A 71-year-old male patient complained of decreased appetite, fatigue, and abdominal fullness. He had a palpable, firm liver, and laboratory investigations suggested leukemoid reaction. Liver dynamic computed tomography revealed a hypervascular mass, and an ultrasound-guided fine-needle aspiration of the mass confirmed hepatocellular carcinoma (HCC) with a sarcomatoid component. The leukocyte count of the patient had increased to 147,800/mm(3), and he died 10 days after admission. This is a rare case of leukemoid reaction in a patient with sarcomatous HCC.
authors.affiliation: Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea. megadoctor@medimail.co.kr
authors.forename: Hyun Phil
authors.initials: HP
authors.lastname: Shin
authors.forename: Jung Won
authors.initials: JW
authors.lastname: Jeon
authors.forename: Jae Jun
authors.initials: JJ
authors.lastname: Park
authors.forename: Jae Myung
authors.initials: JM
authors.lastname: Cha
authors.forename: Kwang Ro
authors.initials: KR
authors.lastname: Joo
authors.forename: Joung Il
authors.initials: JI
authors.lastname: Lee
authors.forename: Gou Young
authors.initials: GY
authors.lastname: Kim
authors.forename: So Young
authors.initials: SY
authors.lastname: Kang
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle; D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D006801:Humans; D007955:Leukemoid Reaction / Q000175:diagnosis*; D007958:Leukocyte Count; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D014057:Tomography, X-Ray Computed
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