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肾细胞癌所致脱髓鞘性周围神经病

Demyelinating Peripheral Neuropathy Due to Renal Cell Carcinoma.

作者信息

Nishioka Kenya, Fujimaki Motoki, Kanai Kazuaki, Ishiguro Yuta, Nakazato Tomoko, Tanaka Ryota, Yokoyama Kazumasa, Hattori Nobutaka

机构信息

Department of Neurology, Juntendo University School of Medicine, Japan.

出版信息

Intern Med. 2017;56(1):101-104. doi: 10.2169/internalmedicine.56.7578. Epub 2017 Jan 1.

Abstract

Renal cell carcinoma (RCC) patients who develop a paraneoplastic syndrome may present with neuromuscular disorders. We herein report the case of a 50-year-old man who suffered from progressive gait disturbance and muscle weakness. The results of a nerve conduction study fulfilled the criteria of chronic inflammatory demyelinating polyneuropathy. An abdominal CT scan detected RCC, the pathological diagnosis of which was clear cell type. After tumor resection and a single course of intravenous immunoglobulin therapy, the patient's symptoms drastically improved over the course of one year. The patient's neurological symptoms preceded the detection of cancer. A proper diagnosis and the initiation of suitable therapies resulted in a favorable outcome.

摘要

发生副肿瘤综合征的肾细胞癌(RCC)患者可能会出现神经肌肉疾病。我们在此报告一例50岁男性患者,他患有进行性步态障碍和肌肉无力。神经传导研究结果符合慢性炎症性脱髓鞘性多发性神经病的标准。腹部CT扫描检测到肾细胞癌,病理诊断为透明细胞型。经过肿瘤切除和一个疗程的静脉注射免疫球蛋白治疗后,患者的症状在一年内大幅改善。患者的神经症状先于癌症的发现。正确的诊断和适当治疗的启动带来了良好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8bf/5313433/53a1b3a809ac/1349-7235-56-0101-g001.jpg

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