A Resected Case of Advanced Gastric Cancer with Nephrotic Syndrome

Takao Ide, Seiji Sato, Masayuki Tanaka, Yoshihiko Kitajima, Yuji Nakafusa and Kohji Miyazaki

Department of Surgery, Saga University School of Medicine

A 63-year-old woman admitted for a common cold and leg edema was found to have advanced gastric cancer with nephrotic syndrome. Serum albumin was 1.8 g/dl and uric protein volume was 3.4 g/day on admission. After albumin and FFP was administered for 3 weeks, total gastrectomy was conducted and albumin and FFP administration continued postoperatively. The postoperative course was unremarkable. About a month postoperatively, serum albumin gradually increased, and uric protein volume decreased. Careful pre- and postoperative management is important in gastric cancer with nephrotic syndrome. If membranous nephropathy is histologically diagnosed before surgery, possible remission of nephrotic syndrome can be expected after gastrectomy.

Key words
nephrotic syndrome, gastric cancer, albumin

Reprint requests
Takao Ide Department of Surgery, Saga University School of Medicine
5-1-1 Nabeshima, Saga, 849-8501 JAPAN

Accepted
November 30, 2004

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