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由肾细胞癌引起的膜性肾病导致的肾病综合征。

Nephrotic syndrome as a result of membranous nephropathy caused by renal cell carcinoma.

作者信息

Kuroda Isao, Ueno Munehisa, Okada Hirokazu, Shimada Shiho, Akita Masumi, Tsukamoto Takuji, Deguchi Nobuhiro

机构信息

Department of Urology, Biomedical Research Center, Saitama Medical School, Saitama, Japan.

出版信息

Int J Urol. 2004 Apr;11(4):235-8. doi: 10.1111/j.1442-2042.2003.00775.x.

Abstract

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.

摘要

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。

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