頁籤選單縮合
題 名 | Mitomycin C-Induced Renal Insufficiency: A Case Report=Mitomycin C引起之腎功能不全--病例報告 |
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作 者 | 文美卿; 陳呈旭; 何霖; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:6 2003.06[民92.06] |
頁 次 | 頁317-321 |
分類號 | 415.74 |
關鍵詞 | 栓塞性微血管病變; 腎絲球間質溶解; Mitomycin C; Thrombotic microangiopathy; Mesangiolysis; Hemolytic-uremic syndrome; Nephrotoxicity; |
語 文 | 英文(English) |
英文摘要 | A 58-year-old normotensive male with normal renal function and gastric cancer underwent total gastrectomy and received adjuvant chemotherapy with mitomycin C (MMC) for 10 months. He developed anemia, hypertension, and renal function impairment 9 months after initiation of chemotherapy. Kidney biopsy showed thrombotic microangiopathy with marked mesangiolysis and expansion of the subendothelial space resulting in cystic dilation of the glomerular capillaries, and cellular atypia in the tubular cells. His renal function deteriorated gradually then stabilized after treatment with plasma exchange, antihypertensive agents, and antiplatelet agents. He had no sign of tumor recurrence after 3 years of follow-up. We suggest that patients receiving MMC should have their blood pressure and renal function closely monitored for the possibility of development of drug-induced renal insufficiency. |
本系統中英文摘要資訊取自各篇刊載內容。