胃癌切除によりネフローゼ症候が軽快した膜性腎症の1例

DOI Web Site 被引用文献7件 参考文献14件

書誌事項

タイトル別名
  • A CASE OF MEMBRANOUS NEPHROPATHY IN WHICH GASTRECTOMY FOR A GASTRIC CANCER LED TO A REMISSION OF NEPHROTIC SYNDROME

この論文をさがす

抄録

A 56-year-old man complaining of body weight loss and epigastric pain was referred to the hospital with a diagnosis of advanced gastric cancer. The patient also had diabetes mellitus and protein level in the urine was 8.04g/day on admission. Administration of albumin and FFP was performed before operation, followed by subtotal gastrectomy and biopsy of the kidney. Albumin and FFP regimen was continued after the operation. Urinary protein level started to decrease on the second postoperative week to be 3.9g/day on the third month. Histologically the gastric cancer was poorly to moderately differentiated adenocarcinoma, and the lesion of the kidney was diagnosed as membranous nephropathy. No clear histologic deposits of CEA to glomerula were shown, but a strong correlation between CEA immunocomplex and membranous nephropathy was suggested. As far as we could review, such cases as operation for gastric cancer resulted in remission of nephrotic syndrome have come to eight cases. If we set limit the histologic type of the kidney to membranous nephropathy alone, all cases undergoing operation for gastric cancer experienced a remission of nephrotic syndrome.

収録刊行物

被引用文献 (7)*注記

もっと見る

参考文献 (14)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ