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Leukemoid reaction in a patient with metastatic renal cell carcinoma-rare clinical presentation seen in Nepal: a case report.

Pramit Khatiwada, Girendra Yadav, Prashant Guragain, Pradip Raut, Viplaw Subedi,Soniya Dulal

Annals of medicine and surgery (2012)（2023）

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Abstract
The lack of data and evidence of extensive diagnostic tests is the reason we are unable to assume leukemoid reaction as a poor prognostic factor in case of metastatic renal cell carcinoma. The presence of other paraneoplastic syndromes with renal cell carcinoma might have resulted in the poor prognosis that cannot be excluded.
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Key words
Nepal,case report,leukemoid reaction,poor prognosis,renal cell carcinoma
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