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Paraneoplastic Leukemoid Reaction in Solid Tumors

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/COC.0b013e3182a530dd

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leukemoid; paraneoplastic; cytokine; carcinoma; cytokine

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Leukemoid reaction is defined as leucocytosis >50,000/mu L. When it occurs in association with a malignancy, and infection or leukemia has been ruled out, it is termed as paraneoplastic leukemoid reaction. A patient presented with fatigue, generalized weakness, and abdominal distension and was incidentally noted to have a white blood cell count of 139,000/mu L. Leukemia was ruled out by peripheral smear and flow cytometry. Computed tomography-guided biopsy of thickened omentum revealed poorly differentiated metastatic carcinoma. He died 3 days after admission with a peak white blood cell count of 180,000/mu L. Previous reports and pathophysiology of paraneoplastic leukemoid reaction are reviewed.

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