Birembaut P, Parjoie R, Ploton D, Rebaiz K, Wolf C
Nephrologie. 1981;2(1):11-4.
After hysterectomy and bilateral annexectomy for bilateral ovarian carcinoma, a 34 years old woman was treated by radiotherapy and chemotherapy associating adriamycin, vincristin and 5-fluoro-uracil. After this treatment, proteinuria and progressive renal failure developed. Renal biopsy showed prominent glomerular lesions with mesangiolysis and some necrotic arteriolar lesions. The role of radiotherapy and chemotherapy in the pathogenesis of these lesions is discussed.
一名34岁女性因双侧卵巢癌接受子宫切除及双侧附件切除术后,接受了联合阿霉素、长春新碱和5-氟尿嘧啶的放疗及化疗。该治疗后,出现蛋白尿和进行性肾衰竭。肾活检显示显著的肾小球病变伴系膜溶解及一些坏死性小动脉病变。文中讨论了放疗和化疗在这些病变发病机制中的作用。