<症例>ネフローゼ症候群合併の早期胃癌の1手術例

概要

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Recently, the relationship between the malignant lesion and nephrotic syndrome has been a remarkable problem. The influence of immune complex in the circulating blood on the renal glomerulus may be responsible for the occurrence of nephrotic syndrome. A 62-year-old male complaining of edema on the bilateral legs was incidentally found to have early gastric carcinoma. Proteinuria, hypoproteinemia and other laboratory data suggested that the patient had nephrotic syndrome. In order to avoid postoperative complications such as wound dehiscence, anastomotic leakage, sepsis and so on, careful pre- and postoperative management of nephrotic syndrome is necessary. After adjustment of hypoproteinemia, he underwent subtotal gastrectomy. Although his postoperative course was uneventful, the signs and symptoms of nephrotic syndrome did not improve or disappear. In search of literature, several cases gain recovery from nephrotic syndrome when the malignant lesion was completely removed. In our own case, immunologic examinations and usual renal biopy were not performed, and results of gastrectomy showed no improvement of nephrotic syndrome during the early postoperative period. Further follow-up studies should be scheduled.
近畿大学の論文
1984-03-25