Korean J Nephrol.  2005 Mar;24(2):320-325.

A Case of Minimal Change Disease during Chemotherapy of Bronchogenic Adenocarcinoma

Affiliations
  • 1Department of Internal Medicine, Soonchunhyang University Medical College, Bucheon, Korea. sd7hwang@schbc.ac.kr
  • 2Department of Pathology, Soonchunhyang University Medical College, Bucheon, Korea.

Abstract

A 60 year-old woman was admitted with generalized edema. The patient had bronchogenic adenocarcinoma which was diagnosed 8 months ago, and treated with 3 cycles of etoposide and cisplatin and 6 cycles of paclitaxel and carboplatin. After completion of chemotherapeutic cycles, massive proteinuria (18, 018 mg/day) developed. Renal biopsy revealed minimal change disease, acute tubular necrosis and chronic interstitial nephritis. In spite of continuous chemotherapy, there was no evidence of remission of cancer lesion on a serial consecutive radiographic study. She quitted continuing chemotherapy, and alternative day high dose of prednisolone was initiated for minimal change disease. Proteinuria was decreased dramatically (180 mg/day) after 2 months, and did not recur during tapering of prednisolone. Although bone metastasis on the right femur was newly detected after 2 months, proteinuria did not develop. We experienced minimal change disease during chemotheraphy of bronchogenic adenocarcinoma, thus we report it with article review.

Keyword

Minimal change disease; Bronchogenic adenocarcinoma; Cisplatin nephrotoxicity; Acute tubular necrosis

MeSH Terms

Adenocarcinoma*
Biopsy
Carboplatin
Cisplatin
Drug Therapy*
Edema
Etoposide
Female
Femur
Humans
Middle Aged
Necrosis
Neoplasm Metastasis
Nephritis, Interstitial
Nephrosis, Lipoid*
Paclitaxel
Prednisolone
Proteinuria
Carboplatin
Cisplatin
Etoposide
Paclitaxel
Prednisolone
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