title: [A case of complete disappearance of paraneoplestic syndrome after curative resection of bone metastasis in renal cell carcinoma].
abstract: A case of renal cell carcinoma presenting with paraneoplastic syndrome is reported. A 69-year-old man with uncontrolled diabetes was incidentally found to have a left thoracic tumor and a right renal tumor. He had intermittent fever of 39℃ or more and laboratory data showed diabetes and high C-reactive protein level. A radical nephrectomy was performed, but the neoplastic syndrome did not improve. After a second surgery consisting of complete resection of solitary bone metastasis the symptoms resolved immediately. At 6 months postoperatively, he had no reoccurence. Generally prognosis of patients with bone metastasis from renal cell carcinoma has been said to be poor, but surgical control of bone metastasis may be a key factor for the prognosis of patient with metastatic RCC in the era of targeted therapy.
authors.affiliation: The Department of Urology, Fujisawa City Hospital.
authors.forename: Manabu
authors.initials: M
authors.lastname: Kakizoe
authors.affiliation: The Department of Urology, Fujisawa City Hospital.
authors.forename: Daiji
authors.initials: D
authors.lastname: Takamoto
authors.affiliation: The Department of Urology, Fujisawa City Hospital.
authors.forename: Ryoko
authors.initials: R
authors.lastname: Sakata
authors.affiliation: The Department of Urology, Fujisawa City Hospital.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Tajiri
authors.affiliation: The Department of Urology, Fujisawa City Hospital.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kitami
authors.affiliation: The Department of Respiratory Surgery, Fujisawa City Hospital.
authors.forename: Noboru
authors.initials: N
authors.lastname: Yoshimoto
authors.affiliation: The Department of Plastic Surgery, Fujisawa City Hospital.
authors.forename: Misato
authors.initials: M
authors.lastname: Hosono
authors.affiliation: The Department of Urology, Yokohama City University Graduate School of Medicine.
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Kubota
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000556:secondary* / Q000601:surgery*; D002292:Carcinoma, Renal Cell / Q000473:pathology*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D010257:Paraneoplastic Syndromes; D012272:Ribs