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Article Synopsis
  • Stauffer syndrome is a health condition that affects the liver and is linked to certain types of tumors, especially those in the kidneys.
  • It shows signs like yellow skin (jaundice), high liver enzymes, and sometimes a swollen liver or spleen, but not because of a blockage.
  • This syndrome can happen with other cancers too, and in one case, a 76-year-old patient had problems with both their liver and a tumor in their kidneys.
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Stauffer's syndrome is a paraneoplastic syndrome that has historically been associated with renal cell carcinoma. It is defined by the anicteric elevation of liver enzymes in the absence of liver metastasis, and the reversibility of clinical and biochemical changes upon treatment of the primary pathology. Here, we discuss the rare presentation of Stauffer's syndrome in a patient with advanced metastatic prostate cancer.

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Painless jaundice and unexplained weight loss is an exceedingly rare presentation for renal cell carcinoma (RCC). Such a presentation is more typical of a hepatocellular pathology. Stauffer syndrome is a paraneoplastic syndrome seen in RCC and is characterized by deranged hepatic enzymes and in association with fever, fatigue and weight loss.

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Background: Paraneoplastic syndromes remain poorly understood and manifest as multifaceted clinical symptoms, making their diagnosis difficult. Cholestasis can be observed in various malignancies. In rare cases, it can be a paraneoplastic manifestation, most often associated with renal cell carcinoma and other urogenital tumors, as well as with bronchial carcinoma.

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