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Granulocyte colony stimulating factor-producing lung cancer with severe anemia of inflammation
Authors:Koutaro Murakami  Yujin Kudo  Masatoshi Kakihana  Jun Matsubayashi  Tetsuya Okano  Yoshihisa Shimada  Toshitaka Nagao  Naohiro Kajiwara  Tatsuo Ohira  Norihiko Ikeda
Affiliation:1.Department of Surgery,Tokyo Medical University,Tokyo,Japan;2.Department of Anatomic Pathology,Tokyo Medical University,Tokyo,Japan
Abstract:Granulocyte colony stimulating factor (G-CSF)-producing lung cancer occasionally induces severe inflammation with an abnormally high white blood cell count. Herein, we report a 49-year-old man who suffered from resectable G-CSF-producing non-small cell lung cancer with continuous fever and severe anemia. Red blood cell transfusion was necessary for the anemia of inflammation. The patient underwent complete surgical tumor resection. The histopathological diagnosis was a pleomorphic carcinoma at pathological stage IIB. This is apparently the first successful case of surgical resection of G-CSF-producing lung cancer in a patient with severe anemia and uncontrollable fever.
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