title: Heart failure as the first manifestation of renal cell carcinoma.
abstract: We report the rare case of a patient with advanced renal cell carcinoma (RCC) who initially presented to the hospital with symptoms of cardiac failure. Preoperative cardiac studies did not reveal any underlying ischemia. After resection of a large 14-cm left renal tumor, cardiac function was noted to improve dramatically. We discuss this case of concomitant RCC and nonischemic cardiomyopathy.
authors.affiliation: Department of Urology, Singapore General Hospital, Singapore.
authors.forename: Chee Meng
authors.initials: CM
authors.lastname: Lee
authors.affiliation: Department of Urology, Singapore General Hospital, Singapore.
authors.forename: Allen
authors.initials: A
authors.lastname: Sim
authors.affiliation: Department of Cardiology, National Heart Centre Singapore, Singapore.
authors.forename: Gunasegaran
authors.initials: G
authors.lastname: Kurugulasigamoney
authors.affiliation: Department of Urology, Singapore General Hospital, Singapore.
authors.forename: Lay Guat
authors.initials: LG
authors.lastname: Ng
mesh_terms: D044466:Asian People; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000601:surgery; D009202:Cardiomyopathies / Q000175:diagnosis*; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000150:complications; D013789:Thalassemia / Q000150:complications
keywords: Cardiomyopathies; Heart failure; Paraneoplastic syndromes; Renal cell carcinoma