A leukemoid reaction in a patient with a dedifferentiated liposarcoma

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dc.contributor.author Nasser, Selim M.
dc.contributor.author Choudry, Umar H.
dc.contributor.author Nielsen, Gunnlaugur P.
dc.contributor.author Ott, Mark J.
dc.date.accessioned 2017-02-02T12:13:50Z
dc.date.available 2017-02-02T12:13:50Z
dc.date.copyright 2001 en_US
dc.date.issued 2017-02-02
dc.identifier.issn 0039-6060 en_US
dc.identifier.uri http://hdl.handle.net/10725/5163
dc.description.abstract This section features outstanding photographs of clinical materials selected for their educational value or message, or possibly their rarity. The images are accompanied by brief case reports (limit 2 typed pages, 4 references). Our readers are invited to submit items for consideration. The patient was a 63-year-old man who in 1992 went to an outside hospital with vague abdominal discomfort. A computed tomography (CT) scan demonstrated a 4-cm mass near the tail of the pancreas. Laboratory studies revealed a white blood cell count (WBC) of 22,600/mL. The mass was excised, including a distal pancreatectomy and splenectomy. Postoperatively, the patient's WBC normalized. Histology was read as a nonspecific inflammatory process. In 1996 he went to the outside hospital with an episode of upper gastrointestinal bleeding and ongoing melena. His laboratory findings revealed a WBC count of 33,000/mL and a hemoglobin level of 4 g/dL. Upper endoscopy demonstrated a mass eroding into the greater curvature of the stomach. After stabilization, a subtotal gastrectomy with partial excision of a retroperitoneal mass was performed. Histology demonstrated a low-grade malignant fibrous histiocytoma (MFH). The patient recovered, but his WBC remained elevated. A CT scan demonstrated a residual 14-cm retroperitoneal mass. The tumor was thought to be unresectable, and the patient was offered no further therapy. en_US
dc.language.iso en en_US
dc.title A leukemoid reaction in a patient with a dedifferentiated liposarcoma en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200804624 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Surgery en_US
dc.journal.volume 129 en_US
dc.journal.issue 6 en_US
dc.article.pages 765-767 en_US
dc.identifier.doi http://dx.doi.org/10.1067/msy.2001.109498 en_US
dc.identifier.ctation Nasser, S. M., Choudry, U. H., Nielsen, G. P., & Ott, M. J. (2001). A leukemoid reaction in a patient with a dedifferentiated liposarcoma. Surgery, 129(6), 765-767. en_US
dc.author.email selim.nasser@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.sciencedirect.com/science/article/pii/S0039606001366345?np=y&npKey=a3316046f706ab1f7f05cd6d1d2fb80b204019a6cfc434c4b22bfba0925124c8 en_US
dc.author.affiliation Lebanese American University en_US

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