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KMID : 1103920110170030226
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Korean Journal of Hepatology
2011 Volume.17 No. 3 p.226 ~ p.228
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A case of leukemoid reaction in a patient with sarcomatous hepatocellular carcinoma
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Shin Hyun-Phill
Jeon Jung-Won
Park Jae-Jun
Cha Jae-Myung
Joo Kwang-Ro
Lee Joung-Il
Kim Gou-Young
Kang So-Young
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Abstract
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A leukemoid reaction is defined as reactive leukocytosis exceeding 50,000/mm3, with a significant increase in early neutrophil precursors, and can be a paraneoplastic manifestation of various malignant tumors. A 71-year-old male patient complained of decreased appetite, fatigue, and abdominal fullness. He had a palpable, firm liver, and laboratory investigations suggested leukemoid reaction. Liver dynamic computed tomography revealed a hypervascular mass, and an ultrasound-guided fine-needle aspiration of the mass confirmed hepatocellular carcinoma (HCC) with a sarcomatoid component. The leukocyte count of the patient had increased to 147,800/mm3, and he died 10 days after admission. This is a rare case of leukemoid reaction in a patient with sarcomatous HCC.
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KEYWORD
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Leukemoid reaction, Paraneoplastic, Hepatocellular carcinoma
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