Blanc P, Martoia R, Louvet C, Bequet D, Laurens A
Service d'hématologie, Hôpital d'instruction des Armées du Val-de-Grâce, Paris.
Rev Med Interne. 1988 May-Jun;9(3):257-9. doi: 10.1016/s0248-8663(88)80090-0.
In a case of cancer of a congenital solitary kidney with lung metastases four paraneoplastic syndromes accompanied the neoplasia: arterial hypertension, polycythaemia, hypercalcaemia and limbic encephalitis. The inaugural arterial hypertension had provided no clue, but polycythaemia led to the diagnosis. In the course of the disease neuropsychic disorders due to the limbic encephalitis and unrelated to the hypercalcaemia developed and made this particular case unusual, especially since only one similar case of renal cancer has been published. The literature available concerning the four neoplastic syndromes is reviewed.
在一例先天性孤立肾癌症伴肺转移的病例中,肿瘤伴随出现了四种副肿瘤综合征:动脉高血压、红细胞增多症、高钙血症和边缘叶脑炎。起初的动脉高血压未提供任何线索,但红细胞增多症导致了诊断。在疾病过程中,由于边缘叶脑炎而非高钙血症引起的神经精神障碍出现了,这使得该特殊病例与众不同,特别是因为仅发表过一例类似的肾癌病例。本文对有关这四种肿瘤综合征的现有文献进行了综述。