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Published on: April 22, 2019
A case of cervical cancer-related membranous nephropathy treated with radiation therapy
Chiharu Ito1, Tetsu Akimoto, Eiko Nakazawa
1Division of Nephrology, Department of Medicine, Jichi Medical School, Japan. ichiharu@jichi.ac.jp
Abstract:
Paraneoplastic nephropathy is a rare complication of malignant disease. We present a case of cervical cancer with biopsy-proven membranous nephropathy and associated nephrotic syndrome. Irradiation to the specific neoplasm site and to the metastatic paraaortic lymph node tissues lead to regression of the nephrotic syndrome without causing severe adverse events. Radiation therapy can be the first choice in the treatment of paraneoplastic nephrotic syndrome if the primary neoplasm is unresectable. Invasiveness of intervention and patient prognosis should be carefully deliberated in the management of the two diseases.