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食管腺癌伴膜增生性肾小球肾炎。

Carcinoma of the oesophagus associated with membrano-proliferative glomerulonephritis.

作者信息

Walker J F, O'Neil S, Campbell E, Browne O, Doyle G, Carmody M, O'Dwyer W F

出版信息

Postgrad Med J. 1981 Sep;57(671):592-6. doi: 10.1136/pgmj.57.671.592.

DOI:10.1136/pgmj.57.671.592
PMID:7329899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2426166/
Abstract

Nephrotic syndrome has been observed in association with different types of neoplasia. This appears to be the first report of the occurrence of the nephrotic syndrome due to membrano proliferative glomerulonephritis in association with carcinoma of the oesophagus. Although proteinuria was present before excision of the tumour, the nephrotic phase occurred subsequently. Eventually it disappeared leaving the patient with a clear urine and biochemical and histological improvement of the renal lesion (including immunofluorescent and electronmicroscopy studies). Possible mechanisms responsible for the nephrotic syndrome in this case are discussed.

摘要

肾病综合征已被观察到与不同类型的肿瘤相关。这似乎是首例关于食管癌细胞膜增生性肾小球肾炎导致肾病综合征的报道。尽管在肿瘤切除前就已存在蛋白尿,但肾病阶段随后才出现。最终蛋白尿消失,患者尿液清澈,肾脏病变在生化和组织学上得到改善(包括免疫荧光和电子显微镜研究)。本文讨论了该病例中导致肾病综合征的可能机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/b908c9286a62/postmedj00225-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/855d6b3cbbc2/postmedj00225-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/cae6e9e79eba/postmedj00225-0056-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/1422e0400b85/postmedj00225-0057-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/b908c9286a62/postmedj00225-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/855d6b3cbbc2/postmedj00225-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/cae6e9e79eba/postmedj00225-0056-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/1422e0400b85/postmedj00225-0057-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ee/2426166/b908c9286a62/postmedj00225-0058-a.jpg

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1
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Intern Med. 2013;52(18):2087-91. doi: 10.2169/internalmedicine.52.0103.

引用本文的文献

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Patient with esophageal cancer showing remission of nephrotic syndrome after esophagectomy: report of a case.食管癌患者术后肾病综合征缓解 1 例报告。
Surg Today. 2013 Dec;43(12):1452-6. doi: 10.1007/s00595-012-0477-1. Epub 2013 Mar 6.
2
Hodgkin's disease with nephrotic syndrome.
Indian J Pediatr. 1994 Jul-Aug;61(4):415-7. doi: 10.1007/BF02751905.

本文引用的文献

1
Nephrotic syndrome cured by removal of gastric carcinoma.胃癌切除术后治愈的肾病综合征。
Br Med J. 1969 Jun 21;2(5659):739-40. doi: 10.1136/bmj.2.5659.739.
2
Carcinoembryonic antigen-antibody complexes in a patient with colonic carcinoma and nephrotic syndrome.一名患有结肠癌和肾病综合征患者体内的癌胚抗原-抗体复合物
N Engl J Med. 1973 Sep 6;289(10):520-2. doi: 10.1056/NEJM197309062891007.
3
Immune complexes associated with neoplasia: presence of Epstein-Barr virus antigen-antibody complexes in Burkitt's lymphoma.与肿瘤形成相关的免疫复合物:伯基特淋巴瘤中存在爱泼斯坦-巴尔病毒抗原-抗体复合物。
Intervirology. 1974;4(5):292-302. doi: 10.1159/000149862.
4
Nephrotic syndrome with oat-cell carcinoma.肾病综合征合并燕麦细胞癌。
Br Med J. 1974 Aug 17;3(5928):450-1. doi: 10.1136/bmj.3.5928.450.
5
Immune complex disease in the kidneys of lymphoma-leukemia patients: the presence of an oncornavirus-related antigen.淋巴瘤白血病患者肾脏中的免疫复合物疾病:一种与肿瘤病毒相关抗原的存在。
J Natl Cancer Inst. 1973 Mar;50(3):633-44. doi: 10.1093/jnci/50.3.633.
6
Immunological studies in nephrotic syndrome associated with extrarenal malignant disease.与肾外恶性疾病相关的肾病综合征的免疫学研究。
Lancet. 1971 Jul 17;2(7716):134-5. doi: 10.1016/s0140-6736(71)92305-1.
7
Nephrotic syndrome in Hodgkin's disease.
Lancet. 1971 May 29;1(7709):1127. doi: 10.1016/s0140-6736(71)91860-5.
8
Nephrotic syndrome in malignant disease of non-renal origin.非肾源性恶性疾病中的肾病综合征。
Lancet. 1971 Feb 6;1(7693):256-8. doi: 10.1016/s0140-6736(71)90999-8.
9
Membranous nephropathy. Long-term follow-up and association with neoplasia.膜性肾病。长期随访及与肿瘤的关联。
Q J Med. 1975 Apr;44(174):207-39.
10
Glomerulopathies of neoplasia.肿瘤相关性肾小球病
Kidney Int. 1977 May;11(5):297-303. doi: 10.1038/ki.1977.47.