Syndrome of Inappropriate Antidiuretic Hormone Secretion as the Initial Presentation in a Patient with Stage I Small-cell Lung Cancer

被引：2

作者：

Koizumi, Tomonobu ^{[1
]}

Kobayashi, Takashi ^{[1
]}

Kanda, Shintaro ^{[1
]}

Fukushima, Toshirou ^{[1
]}

Muranaka, Futoshi ^{[2
]}

Miura, Kentaro ^{[3
]}

Asaka, Shiho ^{[4
]}

机构：

[1] Shinshu Univ, Dept Hematol & Med Oncol, Sch Med, Matsumoto, Nagano, Japan

[2] Shinshu Univ, Sch Med, Dept Surg, Div Gastroenterol Hepatobiliary Pancreat Transpla, Matsumoto, Nagano, Japan

[3] Shinshu Univ, Div Thorac Resp, Sch Med, Dept Surg, Matsumoto, Nagano, Japan

[4] Shinshu Univ, Dept Lab Med, Sch Med, Matsumoto, Nagano, Japan

来源：

INTERNAL MEDICINE | 2022年 / 61卷 / 05期

关键词：

hyponatremia; sodium; limited disease; antidiuretic hormone; HYPONATREMIA; DIAGNOSIS; SIADH;

D O I：

10.2169/internalmedicine.8223-21

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 67-year-old man with a history of esophageal cancer resection was referred to our hospital because of nausea and appetite loss. Laboratory findings showed severe hyponatremia and were compatible with syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Chest computed tomography (CT) revealed a nodule measuring 13 mm in the lower lobe of the right lung. Right thoracotomy was performed, and the histopathological diagnosis was small-cell lung cancer (T1bN0M0; Stage 1b). Although SIADH is frequently associated with small-cell lung cancer, it is extremely rare as the initial clinical feature in stage I small-cell lung cancer.

引用

页码：709 / 713

页数：5

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