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. 2009:2009:bcr06.2008.0007.
doi: 10.1136/bcr.06.2008.0007. Epub 2009 Apr 7.

Difficulties diagnosing psychiatric paraneoplastic syndromes in patients with a psychiatric history: a patient with secondary mania and renal cell carcinoma

Romina Lopez Gaston  1 , Lenia Constantine
Affiliations

Difficulties diagnosing psychiatric paraneoplastic syndromes in patients with a psychiatric history: a patient with secondary mania and renal cell carcinoma

Romina Lopez Gaston et al. BMJ Case Rep. 2009.

Abstract

Renal cell carcinoma (RCC) is characterised by lack of early warning signs. The classic triad (palpable mass, haematuria and flank pain) occurs in less than 15% of cases and paraneoplastic syndromes develop in 10-40%, often preceding the detection of the neoplasm. This report describes a 51-year-old woman who displayed manic symptomatology and was investigated due to anaemia. RCC was diagnosed and her psychiatric symptomatology remitted after the nephrectomy.

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Figures

Figure 1
Figure 1
CT scan abdomen: large and heterogeneous mass measuring 110×108 mm arising from the interpolar region and lower pole of the right kidney.
Figure 2
Figure 2
Synopsis of the case to facilitate a longitudinal view of events and the interplay of psychiatric and physical variables.
See this image and copyright information in PMC

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