一名结肠癌患者的微小病变自发缓解:病例报告

Biomedicine hub Pub Date : 2024-04-18 DOI:10.1159/000538279
Seunghye Lee, Sehyun Jung, Hyejin Jeon, Hani Jang, Hyun-Jung Kim, T. W. Lee, Eunjin Bae, D. J. Park, Se‐Ho Chang
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摘要

摘要 引言 肾小球疾病(MCD)多为原发性,但也可能继发于其他系统疾病,如恶性肿瘤。在继发性肾病综合征(MCD)中,治疗相关疾病后肾病综合征不使用类固醇治疗而自发缓解的情况非常罕见。病例介绍 一位 78 岁的男性患者因泡沫尿和全身水肿就诊,已持续 2 个月。患者患有肾病综合征。在进行肾活检前,他接受了多项检查,以确定肾病综合征的继发性病因。血清癌胚抗原(CEA)轻度升高,乙状结肠发现结肠癌。肾活检确诊为 MCD。他立即接受了结肠癌手术。术后两周内,MCD 完全缓解。结论 我们在此报告了一例罕见的继发性 MCD 患者在结肠癌手术后成功实现自发缓解的病例。
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Spontaneous Remission of Minimal Change Disease in a Colon Cancer Patient: A Case Report
Abstract Introduction Minimal change disease (MCD) is most often primary but may occur secondary to other systemic diseases such as malignancy. In secondary MCD, spontaneous remission of nephrotic syndrome after the treatment of related diseases without steroid therapy is rare. Case Presentation A 78-year-old man visited the outpatient clinic with foamy urine and generalized edema that had persisted for 2 months. The patient had nephrotic syndrome. Before a kidney biopsy, he underwent several tests to determine the secondary cause of the nephrotic syndrome. The serum CEA was slightly elevated, and colon cancer was detected in the sigmoid colon. MCD was diagnosed from a kidney biopsy. He immediately underwent surgery for colon cancer. Complete remission of the MCD was achieved within 2 weeks after surgery. Conclusion Here, we report a rare case of a patient with secondary MCD who successfully achieved spontaneous remission after colon cancer surgery.
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