Urology Case Reports (May 2019)

Paraneoplastic hepatic dysfunction with jaundice in a case of primary renal synovial sarcoma: A very rare scenario

  • Sudheer Kumar Dewana,
  • Kalpesh Mahesh Parmar,
  • Gopal Sharma,
  • Amit Bansal,
  • Pankaj Panwar,
  • Ravimohan S. Mavuduru

DOI
https://doi.org/10.1016/j.eucr.2019.100841
Journal volume & issue
Vol. 24

Abstract

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Nonmetastatic hepatic dysfunction known as Stauffer's syndrome is a rare entity. It is commonly associated with clear cell carcinoma of kidney. Rarely it has been reported in cases of prostatic carcinoma, bronchogenic tumor and lymphoproliferative diseases. Stauffer s syndrome presents as elevated alkaline phosphatase, aminotransferases, and prolonged prothrombin time without jaundice. However a very rare variant of Stauffer's syndrome presenting with jaundice has been reported in few case reports of clear cell carcinoma of kidney. But such a presentation in cases of renal sarcomas has not been reported so far. Here we report a unique case of primary synovial sarcoma of kidney presenting as nonmetastatic cholestatic jaundice. Keywords: Renal synovial sarcoma, Jaundice, Paraneoplastic, Stauffers syndrome