A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma

58-year-old female was admitted to our hospital complaining isolated proteinuria of 1.7 g/day. Abdominal echography showed right-sided unilateral hydronephrosis, and computed tomography pointed out a tumor of the right renal pelvis, suggesting cancer of renal pelvis. The right nephroureterectomy was...

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Main Authors: Masanori Sakakima, Yoshihide Fujigaki, Hideo Yasuda, Akashi Togawa, Tomoyuki Fujikura, Atsushi Otsuka, Seiichiro Ozono, Akira Hishida
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2011/373480
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author Masanori Sakakima
Yoshihide Fujigaki
Hideo Yasuda
Akashi Togawa
Tomoyuki Fujikura
Atsushi Otsuka
Seiichiro Ozono
Akira Hishida
author_facet Masanori Sakakima
Yoshihide Fujigaki
Hideo Yasuda
Akashi Togawa
Tomoyuki Fujikura
Atsushi Otsuka
Seiichiro Ozono
Akira Hishida
author_sort Masanori Sakakima
collection DOAJ
description 58-year-old female was admitted to our hospital complaining isolated proteinuria of 1.7 g/day. Abdominal echography showed right-sided unilateral hydronephrosis, and computed tomography pointed out a tumor of the right renal pelvis, suggesting cancer of renal pelvis. The right nephroureterectomy was carried out. Pathological diagnosis was urothelial carcinoma. Renal tissue revealed no apparent glomerulopathy with tubular atrophy, interstitial fibrosis, and mildly-to-moderately interstitial mononuclear cell infiltration. Immunofluorescence study showed no deposition of immunoreactanct, and electron microscopy showed almost normal glomerulus without electron dense deposit. Proteinuria disappeared within 6 days after the operation. Moderate amount of proteinuria in our patient was probably caused by secreted protein from urothelial carcinoma. This condition is rare but should be taken into account in patients with even moderate amount of proteinuria.
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institution Kabale University
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publishDate 2011-01-01
publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-313c0a2ffc354dc4aeebbdf5110bdec02025-02-03T05:47:58ZengWileyCase Reports in Nephrology2090-66412090-665X2011-01-01201110.1155/2011/373480373480A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial CarcinomaMasanori Sakakima0Yoshihide Fujigaki1Hideo Yasuda2Akashi Togawa3Tomoyuki Fujikura4Atsushi Otsuka5Seiichiro Ozono6Akira Hishida7The First Department of Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu 431-3192, JapanThe First Department of Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu 431-3192, JapanThe First Department of Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu 431-3192, JapanThe First Department of Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu 431-3192, JapanThe First Department of Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu 431-3192, JapanDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, JapanDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, JapanThe First Department of Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu 431-3192, Japan58-year-old female was admitted to our hospital complaining isolated proteinuria of 1.7 g/day. Abdominal echography showed right-sided unilateral hydronephrosis, and computed tomography pointed out a tumor of the right renal pelvis, suggesting cancer of renal pelvis. The right nephroureterectomy was carried out. Pathological diagnosis was urothelial carcinoma. Renal tissue revealed no apparent glomerulopathy with tubular atrophy, interstitial fibrosis, and mildly-to-moderately interstitial mononuclear cell infiltration. Immunofluorescence study showed no deposition of immunoreactanct, and electron microscopy showed almost normal glomerulus without electron dense deposit. Proteinuria disappeared within 6 days after the operation. Moderate amount of proteinuria in our patient was probably caused by secreted protein from urothelial carcinoma. This condition is rare but should be taken into account in patients with even moderate amount of proteinuria.http://dx.doi.org/10.1155/2011/373480
spellingShingle Masanori Sakakima
Yoshihide Fujigaki
Hideo Yasuda
Akashi Togawa
Tomoyuki Fujikura
Atsushi Otsuka
Seiichiro Ozono
Akira Hishida
A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma
Case Reports in Nephrology
title A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma
title_full A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma
title_fullStr A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma
title_full_unstemmed A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma
title_short A Case with Significant Proteinuria Caused by Secreted Protein from Urothelial Carcinoma
title_sort case with significant proteinuria caused by secreted protein from urothelial carcinoma
url http://dx.doi.org/10.1155/2011/373480
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