Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report

Danyang Wang, Haiyan Zhang, Fengkuan Yu, Baijun Fang Department of Hematopathy, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China Purpose: To report a rare case of extreme leukocytosis and leukemoid reaction associated...

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Main Authors: Wang D, Zhang H, Yu F, Fang B
Format: Article
Language:English
Published: Dove Medical Press 2016-12-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/extreme-leukocytosis-and-leukemoid-reaction-associated-with-the-lung-s-peer-reviewed-article-IJGM
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author Wang D
Zhang H
Yu F
Fang B
author_facet Wang D
Zhang H
Yu F
Fang B
author_sort Wang D
collection DOAJ
description Danyang Wang, Haiyan Zhang, Fengkuan Yu, Baijun Fang Department of Hematopathy, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China Purpose: To report a rare case of extreme leukocytosis and leukemoid reaction associated with lung sarcomatoid carcinoma (LSC) and increase people’s awareness of the disease. Patients and methods: A 58-year-old male patient was diagnosed with LSC; however, after the end of the second course of chemotherapy, his white blood cells increased gradually without fever or use of medications such as granulocyte colony-stimulating factor and steroids. A bone marrow biopsy then confirmed it to be a leukemoid reaction. Results: The patient died of multiple organ failure 2 months after being diagnosed with leukocytosis. Conclusion: LSC associated with leukemoid reaction is very rare and the prognosis is poor. When a patient’s white blood cells are extremely elevated, we should think of the possible causes of the tumor itself and identify it with other diseases. However, more data and evidence are still needed to find an effective adjuvant therapy for these patients. Keywords: lung sarcomatoid carcinoma, leukemoid reaction
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spelling doaj.art-5d7127c24f7d4309976589c8c0c73e3c2022-12-21T23:24:05ZengDove Medical PressInternational Journal of General Medicine1178-70742016-12-01Volume 107930644Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case reportWang DZhang HYu FFang BDanyang Wang, Haiyan Zhang, Fengkuan Yu, Baijun Fang Department of Hematopathy, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China Purpose: To report a rare case of extreme leukocytosis and leukemoid reaction associated with lung sarcomatoid carcinoma (LSC) and increase people’s awareness of the disease. Patients and methods: A 58-year-old male patient was diagnosed with LSC; however, after the end of the second course of chemotherapy, his white blood cells increased gradually without fever or use of medications such as granulocyte colony-stimulating factor and steroids. A bone marrow biopsy then confirmed it to be a leukemoid reaction. Results: The patient died of multiple organ failure 2 months after being diagnosed with leukocytosis. Conclusion: LSC associated with leukemoid reaction is very rare and the prognosis is poor. When a patient’s white blood cells are extremely elevated, we should think of the possible causes of the tumor itself and identify it with other diseases. However, more data and evidence are still needed to find an effective adjuvant therapy for these patients. Keywords: lung sarcomatoid carcinoma, leukemoid reactionhttps://www.dovepress.com/extreme-leukocytosis-and-leukemoid-reaction-associated-with-the-lung-s-peer-reviewed-article-IJGMLung sarcomatoid carcinomaleukemoid reaction
spellingShingle Wang D
Zhang H
Yu F
Fang B
Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report
International Journal of General Medicine
Lung sarcomatoid carcinoma
leukemoid reaction
title Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report
title_full Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report
title_fullStr Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report
title_full_unstemmed Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report
title_short Extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma: an unusual case report
title_sort extreme leukocytosis and leukemoid reaction associated with the lung sarcomatoid carcinoma an unusual case report
topic Lung sarcomatoid carcinoma
leukemoid reaction
url https://www.dovepress.com/extreme-leukocytosis-and-leukemoid-reaction-associated-with-the-lung-s-peer-reviewed-article-IJGM
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AT zhangh extremeleukocytosisandleukemoidreactionassociatedwiththelungsarcomatoidcarcinomaanunusualcasereport
AT yuf extremeleukocytosisandleukemoidreactionassociatedwiththelungsarcomatoidcarcinomaanunusualcasereport
AT fangb extremeleukocytosisandleukemoidreactionassociatedwiththelungsarcomatoidcarcinomaanunusualcasereport