RESUMEN
The nephrotic syndrome complicating malignancy in the absence of amyloidosis, renal vein thromosis or neoplastic infiltration of kidney is a rare disease. The nephrotic syndrome has been reported in association with a wide variety of neoplastic disease, but it has only rarely been noted as a complication of early gastric cancer. We describe a patient who presented with the nephrotic syndrome and was subsequently found to have early gastric cancer. The findings on renal biopsy were indicative of membranous nephropathy by light, immunofluorescence and electron microscopy. Endoscopic biopy on stomach demonstrated the signet ring cell carcinoma by light microscopy. Successful treatment of early gastric cancer did not completely resolve the nephrotic syndrome but led to significant redution of proteinuria and improved edema. We reported a patient who presented with membranous nephropathy combined with early gastric cancer.
Asunto(s)
Humanos , Amiloidosis , Biopsia , Carcinoma de Células en Anillo de Sello , Edema , Técnica del Anticuerpo Fluorescente , Glomerulonefritis Membranosa , Riñón , Microscopía , Microscopía Electrónica , Síndrome Nefrótico , Proteinuria , Enfermedades Raras , Venas Renales , Estómago , Neoplasias GástricasRESUMEN
Intrathoracic kidney is a very rare congenital anomaly in development of the kidney. It was firstly described by Mikulics in 1922. More than 130 cases were reported in the world. Most of the patients have no clinical problem and discovered incidentally in chest X-ray. We have experienced a case of intrathoracic kidney in a 48-year-old female who was admitted due to recurrent calculous cholecystitis. Intrathoracic mass lesion was noted in the plain chest film and confirmed as intrathoracic kidney by chest computed tomography and intravenous pyleography. We report a case of intrathorcic kidney with brief review of literature.