Olgu Sunumu: Radikal Nefrektomi Sonrası Düzelen Dirençli Hipokalemi


Dinçkal M. , Kızılay F. , Kalemci M. S. , Şimşir A.

14.Üroonkoloji Kongresi, Antalya, Turkey, 6 - 10 November 2019, pp.339-341

  • Publication Type: Conference Paper / Full Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.339-341

Abstract

Paraneoplastic syndromes are systemic pathologies that may occur due to any malignancy  and affect various organ systems. Classical triad in renal cell carcinoma (RCC); palpable mass, side  pain, hematuria and is seen in 15% of patients, whereas the probability of developing RCC-related  paraneoplastic syndrome is 40%.Paraneoplastic cushing syndrome was found to be associated with  RCC in 2% of all cancers and the symptoms associated with cushing syndrome were in remission  after surgical excision. In our patient, although serum ACTH, Aldosterone, Cortisol levels were  normal, there was resistant hypokalemic metabolic alkalosis and this was not related to cushing  syndrome. The complete normalization of the clinical picture and laboratory values after radical  nephrectomy suggests that hypokalemic metabolic alcoholosis may be a paraneoplastic syndrome  associated with RCC.