Minhajat Rahmawati, Benyamin Andi Fachruddin, Aman Andi Makbul, Bakri Syakib
Division of Hematology and Medical Oncology, Internal Medicine Department, Medical Faculty Hasanuddin University, Makassar, Indonesia.
Histology Department, Medical Faculty Hasanuddin University, Makassar, Indonesia.
Case Rep Oncol Med. 2021 Jan 19;2021:8131834. doi: 10.1155/2021/8131834. eCollection 2021.
Syndrome of inappropriate antidiuretic hormone (SIADH) is a disorder of fluid and sodium balance characterized by hypotonic hyponatremia, low plasma osmolality, and increased urine osmolality caused by excessive release of antidiuretic hormone (ADH). Malignancy is one of the most common causes of SIADH, but SIADH in esophageal carcinoma is very rarely reported. In this case report, a 74-year-old male patient of moderate differentiation of squamous cell esophageal carcinoma had a recurrent electrolyte balance disorder despite repeated corrections. The patient experienced improvement after fluid restriction and drug administration.
抗利尿激素分泌异常综合征(SIADH)是一种液体和钠平衡紊乱疾病,其特征为低渗性低钠血症、血浆渗透压降低以及因抗利尿激素(ADH)过度释放导致尿渗透压升高。恶性肿瘤是SIADH最常见的病因之一,但食管癌导致的SIADH报道极为罕见。在本病例报告中,一名74岁男性鳞状细胞食管癌中度分化患者尽管反复纠正,但仍反复出现电解质平衡紊乱。经限液和药物治疗后患者病情改善。