Document Detail


A case of gastric cancer with nephrotic syndrome.
MedLine Citation:
PMID:  9787600     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 77-year-old woman complaining of anorexia and nausea was referred to the hospital with a diagnosis of advanced gastric cancer. The patient also had congestive heart failure with atrial fibrillation and severe hypoproteinemia. Proteinuria, hypoproteinemia and other laboratory data suggested that she had nephrotic syndrome. Total protein level was 4.6 g/dl and albumin level was 1.6 g/dl. In order to avoid postoperative complications such as wound dehiscence, anastomotic leakage and so on, careful pre- and post-operative management of nephrotic syndrome is necessary. Administration of albumin and fresh frozen plasma regimen was continued after the operation. Urinary protein level started to decrease after subtotal gastrectomy. Histological examination revealed moderately differentiated tubular adenocarcinoma with nodal metastases. Her post-operative course was uneventful. Although the signs and symptoms of nephrotic syndrome did not improve immediately, twelve months after operation she has become well and has no symptoms of ascites and hypoproteinemia.
Authors:
N Eriguchi; S Aoyagi; M Hara; E Tanaka; M Hashimoto
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Kurume medical journal     Volume:  45     ISSN:  0023-5679     ISO Abbreviation:  Kurume Med J     Publication Date:  1998  
Date Detail:
Created Date:  1998-11-05     Completed Date:  1998-11-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985210R     Medline TA:  Kurume Med J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  283-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kurume University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Humans
Nephrotic Syndrome / etiology*
Stomach Neoplasms / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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