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KMID : 0614620150660020116
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Korean Journal of Gastroenterology
2015 Volume.66 No. 2 p.116 ~ p.121
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A Case of Leukemoid Reaction in Pancreatic Ductal Adenocarcinoma
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Hong Kyong-Hee
Lee Jun-Kyu
Byun Seung-Joo
Jung Jae-Woo
Han In-Woong
Jung Jin-Hee
Kim Eo-Jin
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Abstract
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Leukemoid reaction is defined as leukocytosis exceeding 50,000 cells/mm3. When it occurs in a patient with a malignancy, secondary causes such as infections, drugs, hematologic diseases and hemorrhage need to be ruled out. After excluding such causes, paraneoplastic leukemoid reaction can be considered as a diagnosis of exclusion. Paraneoplastic leukemoid reactions have been described in association with lung, gastrointestinal, genitourinary and head and neck cancers. However, pancreatic cancer with leukemoid reaction has been rarely reported. We diagnosed a case of a 55-year-old Korean woman with extreme leukocytosis associated with advanced pancreatic cancer.
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KEYWORD
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Leukemoid reaction, Paraneoplastic syndromes, Pancreatic neoplasms
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