Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of the Membranous Glomerulonephritis Associated with Squamous Cell Lung Cancer

편평상피세포 폐암과 동반된 막성사구체신염 1예

  • Cho, You-Lee (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Seo, Young-Jin (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Kim, Moo-Gon (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Lee, Jhun-Yeob (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Jung, Seung-Hie (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Ryoo, Hun-Mo (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Yeun, Hyen-Dae (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Lee, In-Hee (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Ahn, Ki-Sung (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Sin, Tae-Lim (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Hyun, Dae-Sung (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Lee, Sang-Chae (Department of Internal Medicine, Daegu Catholic University, College of Medicine) ;
  • Cho, Chang-Ho (Department of Anatomical Pathology, Daegu Catholic University, College of Medicine)
  • 조유리 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 서영진 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 김무곤 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 이준엽 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 정승혜 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 류헌모 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 윤현대 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 이인희 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 안기성 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 신태림 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 현대성 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 이상채 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 조창호 (대구가톨릭대학교 의과대학 해부병리학교실)
  • Published : 2001.08.30
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Abstract

The nephrotic syndrome that occurs in the absence of renal vein thrombosis, amyloidosis, neoplastic infiltration of the kidneys is an unusual but a well recognized paraneoplastic syndrome. The most frequently reported neoplasms associated with nephrotic syndrome are Hodgkin's disease and various carcinomas. The most common renal lesions are membranous glomerulonephritis(MGN) associated with carcinomas and minimal change lesions associated with Hodgkin's disease. Approximately 40% to 45% of patients clinically manifest the MGN symptoms prior to the diagnosis of the tumor, 40% simultaneously with the tumor and the remaining 15% to 20% following the tumor. Therefore, evaluating the underlying malignancy in patients with MGN is important. Here we report a patient with squamous cell lung cancer, which was detected 12 months after a MGN had been diagnosed, with a review of the relevant literature.

악성종양에 동반되는 신증후군은 비교적 드문 부신생물증후군이며 가장 흔한 종양은 폐암, 특히 소세포 폐암이다. 그러나 비세포성 폐암과 동반된 경우는 매우 드물고 국내에서는 보고된 바가 없다. 저자들은 막성사구체신염으로 치료 중 편평상피세포 폐암이 발현된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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