Renal Carcinoma with Increased Erythropoietin Production and Secondary Polycythemia

A report on a patient with renal carcinoma with increased erythropoietin production and secondary polycythemia is given. After nephrectomy, the hemoglobin and hematocrit values decreased to normal levels. For some months after the operation, the patient had no symptoms, but the hemoglobin and hemato...

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Veröffentlicht in:Scandinavian journal of urology and nephrology 1973, Vol.7 (2-3), p.178-180
Hauptverfasser: Kvarstein, Bernt, Lindemann, Rolf, Mathisen, Willy
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container_issue 2-3
container_start_page 178
container_title Scandinavian journal of urology and nephrology
container_volume 7
creator Kvarstein, Bernt
Lindemann, Rolf
Mathisen, Willy
description A report on a patient with renal carcinoma with increased erythropoietin production and secondary polycythemia is given. After nephrectomy, the hemoglobin and hematocrit values decreased to normal levels. For some months after the operation, the patient had no symptoms, but the hemoglobin and hematocrit values were increasing, indicating a recurrence of the tumor. It was also found that the serum erythropoietin level had increased considerably. On re-operation, a recidivating tumor was found. test material was injected on two consecutive days, each day either 0.5 ml plasma or 0.5 ml urine extract. The concentrated urine was dissolved in 5 ml 0.154 M Nacl prior to injection. Five mice were used in each assay group. The percentage incorporation of 59Fe in the erythrocytes was used as a parameter and was then correlated to a dose-response curve of International Standard B Erythropoietin (WHO International Laboratories for Biological Standards, Mill Hill, London, England).
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After nephrectomy, the hemoglobin and hematocrit values decreased to normal levels. For some months after the operation, the patient had no symptoms, but the hemoglobin and hematocrit values were increasing, indicating a recurrence of the tumor. It was also found that the serum erythropoietin level had increased considerably. On re-operation, a recidivating tumor was found. test material was injected on two consecutive days, each day either 0.5 ml plasma or 0.5 ml urine extract. The concentrated urine was dissolved in 5 ml 0.154 M Nacl prior to injection. Five mice were used in each assay group. 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After nephrectomy, the hemoglobin and hematocrit values decreased to normal levels. For some months after the operation, the patient had no symptoms, but the hemoglobin and hematocrit values were increasing, indicating a recurrence of the tumor. It was also found that the serum erythropoietin level had increased considerably. On re-operation, a recidivating tumor was found. test material was injected on two consecutive days, each day either 0.5 ml plasma or 0.5 ml urine extract. The concentrated urine was dissolved in 5 ml 0.154 M Nacl prior to injection. Five mice were used in each assay group. 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After nephrectomy, the hemoglobin and hematocrit values decreased to normal levels. For some months after the operation, the patient had no symptoms, but the hemoglobin and hematocrit values were increasing, indicating a recurrence of the tumor. It was also found that the serum erythropoietin level had increased considerably. On re-operation, a recidivating tumor was found. test material was injected on two consecutive days, each day either 0.5 ml plasma or 0.5 ml urine extract. The concentrated urine was dissolved in 5 ml 0.154 M Nacl prior to injection. Five mice were used in each assay group. 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source MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN
subjects Adenocarcinoma - blood
Adenocarcinoma - complications
Adenocarcinoma - therapy
Erythrocytes - metabolism
Erythropoietin - blood
Erythropoietin - metabolism
Erythropoietin - urine
Hematocrit
Hemoglobins - metabolism
Humans
Iron Radioisotopes
Kidney Neoplasms - blood
Kidney Neoplasms - complications
Kidney Neoplasms - therapy
Male
Middle Aged
Neoplasm Recurrence, Local
Nephrectomy
Polycythemia - etiology
Time Factors
title Renal Carcinoma with Increased Erythropoietin Production and Secondary Polycythemia
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