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Spontaneous Remission Of Minimal Change Disease In A Colon Cancer Patient: A Case Report

Lee, S. 2024Colorectal cancer

Lee, S., Jung, S., Jeon, H., Jang, H., Kim, H. J., Lee, T. W., Bae, E., Park, D. J., & Chang, S. H. (2024). Spontaneous Remission of Minimal Change Disease in a Colon Cancer Patient: A Case Report. Biomedicine hub, 9(1), 62–66. https://doi.org/10.1159/000538279

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Abstract

INTRODUCTION: Minimal change disease (MCD) is most often primary but may occur secondary to other systemic diseases such as malignancy. In secondary MCD, spontaneous remission of nephrotic syndrome after the treatment of related diseases without steroid therapy is rare. CASE PRESENTATION: A 78-year-old man visited the outpatient clinic with foamy urine and generalized edema that had persisted for 2 months. The patient had nephrotic syndrome. Before a kidney biopsy, he underwent several tests to determine the secondary cause of the nephrotic syndrome. The serum CEA was slightly elevated, and colon cancer was detected in the sigmoid colon. MCD was diagnosed from a kidney biopsy. He immediately underwent surgery for colon cancer. Complete remission of the MCD was achieved within 2 weeks after surgery. CONCLUSION: Here, we report a rare case of a patient with secondary MCD who successfully achieved spontaneous remission after colon cancer surgery.

Case Details

Disease Location

Kidney

Personal Characteristics

78-year-old man. History of left osteoarthritis treated with cox-2 nsaid

Clinical Characteristics

Consulted for foamy urine and generalized edema that had persisted for 2 months. The patient was admitted for nephrotic syndrome. Because his generalized edema worsened, furosemide was started. At colonoscopy, a 2-cm mass was found in the sigmoid colon, and a biopsy was taken. It showed an adenocarcinoma on histopathological examination. Laparoscopic anterior resection was performed to remove the tumor. A kidney biopsy was performed before colon tumor resection and revealed minimal change disease as the cause of nephrotic syndrome.

Remission Characteristics

On postoperative day 8, the spot urine protein/creatinine ratio fell significantly, and his foamy urine and edema improved

Treatment & Mechanisms

Clinical Treatment

Biopsy, laparoscopic tumor resection