Wong Koh-Wei
Department of Medicine, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.
BMJ Case Rep. 2015 Jan 16;2015:bcr2014208060. doi: 10.1136/bcr-2014-208060.
We report a case of renal cell carcinoma diagnosed after a patient was treated successfully with intravenous cyclophosphamide for her active proliferative lupus nephritis (classes III and V). After the intravenous cyclophosphamide regimen, the patient was asymptomatic with persistent microscopic haematuria, and no proteinuria. The renal cell carcinoma was located on the left kidney; incidentally, this was where the initial renal biopsy was done to diagnose lupus nephritis.
我们报告一例肾细胞癌病例,该患者因活动性增殖性狼疮性肾炎(III 级和 V 级)接受静脉环磷酰胺治疗成功后被诊断出此病。在静脉注射环磷酰胺治疗方案后,患者无症状,仅有持续性镜下血尿,无蛋白尿。肾细胞癌位于左肾;巧合的是,此处正是当初进行肾活检以诊断狼疮性肾炎的部位。