A case of hepatocellular carcinoma concerned with rapidly progressive glomerulonephritis
A 57-year-old woman had received interferon therapy because of chronic hepatitis C and had received transcathetel arterial embolization (TAE) because of hepatocellular carcinoma HCC (S6). She was referred to our hospital because of a symptom of hematuria with recurrence of HCC (S3) and with aggravat...
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| Published in | Kanzo Vol. 53; no. 12; pp. 821 - 828 |
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| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Society of Hepatology
2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0451-4203 1881-3593 |
| DOI | 10.2957/kanzo.53.821 |
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| Abstract | A 57-year-old woman had received interferon therapy because of chronic hepatitis C and had received transcathetel arterial embolization (TAE) because of hepatocellular carcinoma HCC (S6). She was referred to our hospital because of a symptom of hematuria with recurrence of HCC (S3) and with aggravating renal dysfunction. We diagnosed rapidly progressive glomerulonephritis (RPGN). After we performed laparoscopic partial resection of the liver for HCC (S3), the degree of hematuria was reduced and serum levels of BUN and creatinine were also improved to the normal range gradually. There are some reports about ANCA-associated vasculitis concomitant with malignant tumor, but our case was considered ANCA-negative nephritis concomitant with HCC. |
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| AbstractList | A 57-year-old woman had received interferon therapy because of chronic hepatitis C and had received transcathetel arterial embolization (TAE) because of hepatocellular carcinoma HCC (S6). She was referred to our hospital because of a symptom of hematuria with recurrence of HCC (S3) and with aggravating renal dysfunction. We diagnosed rapidly progressive glomerulonephritis (RPGN). After we performed laparoscopic partial resection of the liver for HCC (S3), the degree of hematuria was reduced and serum levels of BUN and creatinine were also improved to the normal range gradually. There are some reports about ANCA-associated vasculitis concomitant with malignant tumor, but our case was considered ANCA-negative nephritis concomitant with HCC. |
| Author | Inoue, Takeshi Shibata, Mikiko Kioka, Kiyohide Tsukamoto, Tadashi Kanazawa, Akishige Kodai, Shintaro Nakajima, Takayoshi Yamazoe, Sadaaki Fukushima, Yuko Nakai, Takashi Kawasaki, Yasuko Konishi, Yoshio Shimizu, Sadatoshi |
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| References | 10) Sommer M, Schmidt R, Lambrecht E, et al. Rapidly progressive glomerulonephritis in a patient with advanced renal cell carcinoma. Nephrol Dial Transplant 1998; 13: 2107-2109 16) Chiu KC, Tsai TC, Lin WT, et al. Paraneoplastic polymyositis associated with crescentic glomerulonephritis. Ren Fail 2008; 30: 939-942 12) Yavuzsen T, Oztop I, Yilmaz U, et al. Gastric cancer diagnosed in a patient with crescentic glomerulonephritis. Gastric cancer 2003; 6: 267-269 15) Nakaya I, Iwata Y, Abe T, et al. Malignant gastrointestinal stromal tumor originating in the lesser omentum, complicated by rapidly progressive glomerulonephritis and gastric carcinoma. Intern Med 2004; 43: 102-105 2) 有村義宏, 長澤俊彦. 急速進行性腎炎症候群. 「腎臓病学のアプローチ」 酒井 紀編, 日本腎臓学会, 東京, 1995, p7-8 13) 作道広樹, 中森 綾, 杉浦寿央, 他. 前立腺癌に対する治療開始後に発症した急速進行性糸球体腎炎の一例. 日本腎臓学会誌 2003; 45: 637 11) Lorenz M, Regele H, Kovarik J, et al. Rapidly progressive glomerulonephritis and carcinoma of the hypopharynx. Am J Kidney Dis 2001; 37: 1-4 7) 軽部美穂, 有村義宏. ANCA関連血管炎と悪性腫瘍. Annual Review腎臓 2007; III: 69-75 17) 今井利美, 武田真一, 井上 真, 他. 直腸癌摘出後に緩解したANCA陰性pauci-immune型半月体形成性糸球体腎炎の1例. 日本腎臓学会誌 2009; 51: 667 3) 吉川徳茂. 急速進行性糸球体腎炎. 「腎臓学入門」 日本腎臓学会編集委員会編, 第2版, 東京医学社, 東京, 2009, p50-57 9) Irish AB, Savdie E, Delprado W, et al. Simultaneous presentation of gastric carcinoma and crescentic glomerulonephritis. Nephron 1992; 60: 254 14) Pankhurst T, Savage CO, Goldon C, et al. Malignancy is increased in ANCA-associated vasculitis. Rheumatology 2004; 43: 1532-1535 8) Dussol B, Berland Y, Casanova P, et al. Crescentic Glomerulonephritis associated with gastric adenocarcinoma. Nephrologie 1992; 13: 163-165 6) Lionaki S, Jannette JC, Falk RJ. Anti-neutrophil cytoplasmic (ANCA) and anti-glomerular basement membrane (GBM) autoantibodies in necrotizing and crescentic glomerulonephritis. Semin Immunopathol 2007; 29: 459-474 5) Jannette JC. Crescentic glomerulonephritis. In: Heptinstall's pathology of the kidney 5th ed, Lippincott-Raven, Philadelphia, New York, 1998, p625-656 1) 厚生労働省特定疾患進行性腎障害に関する調査研究班. 急速進行性腎炎症候群の診療指針 第2版. 日本腎臓学会誌 2011; 53: 509-555 4) Churg J, Bernstein J, Glassock RJ. Classification of glomerular disease. In: Renal disease. Classification and atlas of glomerular diseases, Edited by J Churg, J Bernstein, RJ Glassock, 2nd ed, Igaku-Shoin, New York, Tokyo, 1995, p11 |
| References_xml | – reference: 17) 今井利美, 武田真一, 井上 真, 他. 直腸癌摘出後に緩解したANCA陰性pauci-immune型半月体形成性糸球体腎炎の1例. 日本腎臓学会誌 2009; 51: 667 – reference: 8) Dussol B, Berland Y, Casanova P, et al. Crescentic Glomerulonephritis associated with gastric adenocarcinoma. Nephrologie 1992; 13: 163-165 – reference: 16) Chiu KC, Tsai TC, Lin WT, et al. Paraneoplastic polymyositis associated with crescentic glomerulonephritis. Ren Fail 2008; 30: 939-942 – reference: 12) Yavuzsen T, Oztop I, Yilmaz U, et al. Gastric cancer diagnosed in a patient with crescentic glomerulonephritis. Gastric cancer 2003; 6: 267-269 – reference: 14) Pankhurst T, Savage CO, Goldon C, et al. Malignancy is increased in ANCA-associated vasculitis. Rheumatology 2004; 43: 1532-1535 – reference: 3) 吉川徳茂. 急速進行性糸球体腎炎. 「腎臓学入門」 日本腎臓学会編集委員会編, 第2版, 東京医学社, 東京, 2009, p50-57 – reference: 5) Jannette JC. Crescentic glomerulonephritis. In: Heptinstall's pathology of the kidney 5th ed, Lippincott-Raven, Philadelphia, New York, 1998, p625-656 – reference: 4) Churg J, Bernstein J, Glassock RJ. Classification of glomerular disease. In: Renal disease. Classification and atlas of glomerular diseases, Edited by J Churg, J Bernstein, RJ Glassock, 2nd ed, Igaku-Shoin, New York, Tokyo, 1995, p11 – reference: 6) Lionaki S, Jannette JC, Falk RJ. Anti-neutrophil cytoplasmic (ANCA) and anti-glomerular basement membrane (GBM) autoantibodies in necrotizing and crescentic glomerulonephritis. Semin Immunopathol 2007; 29: 459-474 – reference: 7) 軽部美穂, 有村義宏. ANCA関連血管炎と悪性腫瘍. Annual Review腎臓 2007; III: 69-75 – reference: 1) 厚生労働省特定疾患進行性腎障害に関する調査研究班. 急速進行性腎炎症候群の診療指針 第2版. 日本腎臓学会誌 2011; 53: 509-555 – reference: 2) 有村義宏, 長澤俊彦. 急速進行性腎炎症候群. 「腎臓病学のアプローチ」 酒井 紀編, 日本腎臓学会, 東京, 1995, p7-8 – reference: 9) Irish AB, Savdie E, Delprado W, et al. Simultaneous presentation of gastric carcinoma and crescentic glomerulonephritis. Nephron 1992; 60: 254 – reference: 10) Sommer M, Schmidt R, Lambrecht E, et al. Rapidly progressive glomerulonephritis in a patient with advanced renal cell carcinoma. Nephrol Dial Transplant 1998; 13: 2107-2109 – reference: 13) 作道広樹, 中森 綾, 杉浦寿央, 他. 前立腺癌に対する治療開始後に発症した急速進行性糸球体腎炎の一例. 日本腎臓学会誌 2003; 45: 637 – reference: 11) Lorenz M, Regele H, Kovarik J, et al. Rapidly progressive glomerulonephritis and carcinoma of the hypopharynx. Am J Kidney Dis 2001; 37: 1-4 – reference: 15) Nakaya I, Iwata Y, Abe T, et al. Malignant gastrointestinal stromal tumor originating in the lesser omentum, complicated by rapidly progressive glomerulonephritis and gastric carcinoma. Intern Med 2004; 43: 102-105 |
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| SubjectTerms | ANCA-negative nephritis hepatocellular carcinoma laparoscopic resection of the liver rapidly progressive glomerulonephritis renal dysfunction |
| Title | A case of hepatocellular carcinoma concerned with rapidly progressive glomerulonephritis |
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