Cholangiocellular carcinoma that produced both granulocyte-colony-stimulating factor and parathyroid hormone-related protein

Int J Clin Oncol. 2006 Jun;11(3):246-9. doi: 10.1007/s10147-006-0560-y.

Abstract

A 56-year-old man was admitted to our hospital because of consciousness disturbance. Abdominal computed tomography revealed a large low-density tumor in the left lobe of the liver. He presented with marked leukocytosis and hypercalcemia with high levels of serum granulocyte-colony-stimulating factor (G-CSF) and parathyroid hormone-related protein (PTH-rP). A diagnosis of cholangiocellular carcinoma (CCC) of the liver was confirmed by histological examination of an autopsy specimen. The tumor cells showed positivity for both G-CSF and PTH-rP with immunohistochemical staining. These results suggest that the tumor was producing both G-CSF and PTH-rP. This paraneoplastic G-CSF and PTH-rP production caused by CCC is very rare. Such cases must be followed up carefully, since tumors associated with paraneoplastic syndrome progress rapidly, resulting in a poor prognosis.

Publication types

  • Case Reports

MeSH terms

  • Bile Duct Neoplasms / complications
  • Bile Duct Neoplasms / metabolism*
  • Bile Duct Neoplasms / pathology
  • Bile Ducts, Intrahepatic*
  • Cholangiocarcinoma / complications
  • Cholangiocarcinoma / metabolism*
  • Cholangiocarcinoma / pathology
  • Granulocyte Colony-Stimulating Factor / metabolism*
  • Humans
  • Hypercalcemia / etiology
  • Immunohistochemistry
  • Leukocytosis / etiology
  • Male
  • Middle Aged
  • Paraneoplastic Syndromes*
  • Parathyroid Hormone-Related Protein / metabolism*

Substances

  • Parathyroid Hormone-Related Protein
  • Granulocyte Colony-Stimulating Factor