title: Renal cell carcinoma with secondary hemophagocytic syndrome: A case report.
abstract: A patient with a suspected malignancy and pancytopenia warrants much consideration. Most clinicians would consider bone marrow infiltrative process, heralding a grave prognosis. However, rare occurrence of hemophagocytic lymphohistiocytosis is another diagnostic possibility we should keep in mind. The treatment choices and overall prognosis may differ from patients without hemophagocytosis. We present a case of incidentally found advanced renal cell carcinoma (RCC) concurrent with hemophagocytosis process in the bone marrow. We also discuss the importance of this finding.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.
authors.forename: Chia-Ter
authors.initials: CT
authors.lastname: Chao
authors.forename: Chih-Chin
authors.initials: CC
authors.lastname: Kao
authors.forename: Szu-Ying
authors.initials: SY
authors.lastname: Lee
authors.forename: Shu-Jung
authors.initials: SJ
authors.lastname: Ho
authors.forename: Ying-Jheng
authors.initials: YJ
authors.lastname: Jhuang
authors.forename: Lars Hung-Yuan
authors.initials: LH
authors.lastname: Li
authors.forename: Tze-Wah
authors.initials: TW
authors.lastname: Kao