Kuroda Isao, Ueno Munehisa, Okada Hirokazu, Shimada Shiho, Akita Masumi, Tsukamoto Takuji, Deguchi Nobuhiro
Department of Urology, Biomedical Research Center, Saitama Medical School, Saitama, Japan.
Int J Urol. 2004 Apr;11(4):235-8. doi: 10.1111/j.1442-2042.2003.00775.x.
A 77-year-old woman was admitted for a renal biopsy to evaluate a case of nephrotic syndrome. In the course of the examination, a right renal tumor was incidentally found. We performed a right radical nephrectomy in advance of the renal biopsy. Histologically, the tumor was diagnosed as a renal cell carcinoma (clear cell carcinoma) and the non-neoplastic renal cell tissue showed membranous nephropathy (MN). After surgery, the nephrotic syndrome remitted without any further medical treatment and the MN was considered to be a malignancy associated syndrome. There have been few case reports in the literature regarding this association and we wish to describe another case.
一名77岁女性因肾活检以评估肾病综合征病例入院。在检查过程中,偶然发现右肾肿瘤。我们在肾活检之前先行右肾根治性切除术。组织学检查显示,肿瘤被诊断为肾细胞癌(透明细胞癌),非肿瘤性肾细胞组织表现为膜性肾病(MN)。术后,肾病综合征未经进一步治疗即缓解,MN被认为是一种恶性肿瘤相关综合征。关于这种关联,文献中鲜有病例报道,我们希望描述另一例病例。