Neoadjuvant checkpoint inhibition in renal cell carcinoma associated Stauffer’s syndrome

Publication date: Available online 25 November 2019Source: Urology Case ReportsAuthor(s): Kevin Zarrabi, Selma Masic, Christopher Schaefer, Michael J. Bartel, Alexander Kutikov, Matthew ZibelmanAbstractStauffer’s syndrome is a paraneoplastic phenomenon associated with renal cell carcinoma (RCC) characterized by cholestatic hepatitis. We explore the effects of perioperative immunotherapy in a case of Stauffer’s syndrome. A 70-year-old female with a locally advanced clear cell RCC (ccRCC) developed severe hyperbilirubinemia. The patient’s cholestasis progressed despite initial systemic immunotherapy, but improved after cytoreductive nephrectomy. The patient continued immunotherapy post-operatively and regained normalized hepatic function. To our knowledge, this is the first case reporting use of systemic immunotherapy with surgery in Stauffer’s syndrome, and we provide clinical insight into a treatment regimen which may be employed in future cases.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research