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Heart failure as the first manifestation of renal cell carcinoma

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Lee Chee-Meng, Sim Allen, Kurugulasigamoney Gunasegaran, Ng Lay Guat,
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 ( Lee Chee-Meng ) 
Singapore General Hospital Department of Urology

 ( Sim Allen ) 
Singapore General Hospital Department of Urology
 ( Kurugulasigamoney Gunasegaran ) 
National Heart Centre Singapore Department of Cardiology
 ( Ng Lay Guat ) 
Singapore General Hospital Department of Urology

Abstract


We report the rare case of a patient with advanced renal cell carcinoma (RCC) who initially presented to the hospital with symptoms of cardiac failure. Preoperative cardiac studies did not reveal any underlying ischemia. After resection of a large 14-cm left renal tumor, cardiac function was noted to improve dramatically. We discuss this case of concomitant RCC and nonischemic cardiomyopathy.

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Cardiomyopathies; Heart failure; Paraneoplastic syndromes; Renal cell carcinoma

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