PMC6071629_01
The radiographic findings.. Notes: A conventional chest radiograph showing a solitary circular opacity (white arrowhead) in the mid-zone of the left lung (A). A chest CT image shows a well-marginated soft tissue nodule in the left lower lobe posterior segment (black arrow). A 48x45x30-mm3 moderately differentiated squamous cell carcinoma was found during surgery (B).
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A chest radiograph showed a round well-circumscribed solitary lesion in the middle zone of the left lung (Figure 1A). A subsequent chest computed tomography (CT) examination showed a solid mass in the lower lobe posterior segment without any findings of lymphadenopathy (Figure 1B).
The renal biopsy findings.. Notes: Light micrographs of the glomeruli in different portions of the renal biopsy core (A and B) indicate the glomeruli with no apparent structural abnormalities (Periodic acid-Schiff staining). The glomerular capillaries are patent, and the basement membranes are delicate. An electron micrograph of a portion of the glomerulus (C) shows scattered segmental subepithelial electron-dense deposits (arrowheads) without distinct intervening spikes. The scale or scale bar is indicated in each panel.
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On hospital day 10, a renal biopsy was performed (Figure 2), which revealed 3 cores of renal parenchyma with 17 glomeruli, 2 of which were globally sclerotic.
Serial changes in sAlb and urine protein before and after thoracoscopic left lower lobectomy.. Notes: The number "0" is designated as the point of admission. Note that the patient's NS reached complete remission at approximately 10 months after the surgery.. Abbreviations: Cr, creatinine; NS, nephrotic syndrome; sAlb, serum albumin.
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Finally, the patient achieved a complete remission from the NS with a reduced urine protein to Cr ratio of 0.21 g/gCr at approximately 10 months after the surgery (Figure 3).