Sannier Aurélie, Dupuis Emmanuel, Berger Anne Katrin, Bischofs Christian, Massy Ziad A, Seidowsky Alexandre
Department of Pathology, Bichat Hospital, AP-HP, Paris, France.
Paris Diderot University, Paris, France.
Clin Kidney J. 2018 Oct 10;12(4):527-529. doi: 10.1093/ckj/sfy099. eCollection 2019 Aug.
Acute kidney injury (AKI) is a major complication in patients with cancer, associated with significant morbidity and mortality. Only two cases of kidney lymphangitic carcinomatosis associated with AKI have been reported, in gastric and colorectal adenocarcinoma. Here, we report on a 53-year-old man with pancreatic adenocarcinoma who developed AKI as a result of kidney lymphangitic carcinomatosis. The patient rapidly became anuric and required haemodialysis. Kidney lymphangitic carcinomatosis should be considered as a cause of AKI in patients with cancer and may become a more frequent clinical finding as patients with metastatic carcinoma survive for longer.
急性肾损伤(AKI)是癌症患者的主要并发症,与显著的发病率和死亡率相关。仅报告过两例与AKI相关的肾淋巴管癌病病例,分别发生于胃和结肠腺癌患者。在此,我们报告一名53岁的胰腺腺癌男性患者,其因肾淋巴管癌病而发生AKI。该患者迅速无尿,需要进行血液透析。肾淋巴管癌病应被视为癌症患者发生AKI的一个原因,并且随着转移性癌患者存活时间延长,这可能会成为更常见的临床发现。