Your browser doesn't support javascript.
loading
[A Case of Advanced Transverse Colon Cancer with Nephrotic Syndrome Treated with Curative Resection and Complete Adjuvant Chemotherapy].
Sato, Nobutaka; Fuyuno, Seiya; Hatada, Teppei; Furuhashi, Takashi; Abe, Toshihiko.
Afiliação
  • Sato N; Dept. of Surgery, Japan Seafarers Relief Association Moji Ekisaikai Hospital.
Gan To Kagaku Ryoho ; 44(5): 421-424, 2017 May.
Article em Ja | MEDLINE | ID: mdl-28536340
A 74-year-old woman was diagnosed as having transverse colon cancer after diagnosis of nephrotic syndrome caused by membranous nephropathy. Although she had hypoproteinemia and hypoalbuminemia, we judged that she had no major nutritional problem. In previous, similar case reports, the use of human serum albumin and fresh-frozen plasma was suggested to be important to avoid complications in the perioperative period. Thus, we used the same in our patient in the perioperative period. In addition, we paid special attention to perioperative nutrition management and used total parenteral nutrition in perioperative period. We performed laparoscopic assisted right hemicolectomy. On the 15th day after the surgical resection, the patient was discharged without any problems. We considered that postoperative adjuvant chemotherapy with XELOX (CapeOX)should be performed because the TNM pathological stage was pStage III b. Regarding adjuvant chemotherapy for gastrointestinal cancer with nephrotic syndrome, no previous reports detailed the indications for postoperative adjuvant chemotherapy. Upon introduction of adjuvant chemotherapy, we determined adaptation in accordance with the general adaptation criteria. While observing the patient's progress with a nephrologist, we safely completed the scheduled 8 courses adjuvant chemotherapy.
Assuntos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Glomerulonefrite Membranosa / Protocolos de Quimioterapia Combinada Antineoplásica / Neoplasias do Colo / Colo Transverso / Desoxicitidina / Fluoruracila / Síndrome Nefrótica Limite: Aged / Female / Humans Idioma: Ja Ano de publicação: 2017 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Glomerulonefrite Membranosa / Protocolos de Quimioterapia Combinada Antineoplásica / Neoplasias do Colo / Colo Transverso / Desoxicitidina / Fluoruracila / Síndrome Nefrótica Limite: Aged / Female / Humans Idioma: Ja Ano de publicação: 2017 Tipo de documento: Article