Table 3.
Clinical characteristics of THSD7A-Ab–positive patients with MN and malignancy
| Patient | Sex, Age, yr | Tumor | Tumor Treatment | Specific Treatment of MN | Time of Diagnosis of Tumor | At the Time of MN Diagnosis | End Point | Follow-Up Time, mo | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Prot | S-Crea, mg/dl | THSD7A-Ab Level | ||||||||
| 1 | W, 39 | Gall bladder carcinoma | Palliative surgery and chemotherapy | No | 1 mo after MN | 4.0 g/g creatinine | 0.5 | 1:100 | S-Crea: 0.7 mg/dl; Prot: 0.2 g/g creatinine; THSD7A-Ab: neg | 15 |
| 2 | M, 43 | Gastrointestinal stroma tumor | Surgery, curative | CsA and Pred | 3 mo after MN | 10.7 g/d | 1.0 | 1:1000 | S-Crea: 1.4 mg/dl; Prot: 1.8 g/d; THSD7A-Ab: 1:320 | 45 |
| 3 | W, 76 | Gynecologic tumor, not further specified | Palliative | na | na | na | na | 1:1000 | na | na |
| 4 | M, 65 | Prostate carcinoma | Palliative | CsA, CYC, and Pred | 19 mo after MN diagnosis | 8.2 g/d | 0.8 | 1:1000 | Patient deceased because of the tumor | 20 |
| 5 | M, 53 | MALT lymphoma | Surgery, radiation | No | Relapse at the time of MN diagnosis; first diagnosis of lymphoma 2 yr earlier | 4.0 g/g creatinine | 1.1 | 1:3200 | S-Crea: 1.1 mg/dl; Prot: na; THSD7A-Ab: neg | 14 |
| 6 | M, 74 | Colon carcinoma | Endoscopy, curative | CYC and Pred | 4 mo after MN diagnosis | 10.9 g/g creatinine | 3.0 | 1:1000 | S-Crea: 2.5 mg/dl; Prot: 0.1 g/g creatinine; THSD7A-Ab: neg | 24 |
| 7 | W, 77 | Endometrium carcinoma | Surgery, curative | No | Relapse at the time of MN diagnosis; first diagnosis of carcinoma 17 yr earlier | 4.6 g/d | 0.8 | THSD7A-Ab: neg; enhanced glomerular THSD7A staining | S-Crea: 0.9 mg/dl; Prot: 1.8 g/d; THSD7A-Ab: neg | 9 |
| 8 | M, 77 | Prostate carcinoma | Androgen deprivation therapy; palliative radiation therapy | No | 22 mo before MN diagnosis | 7.0 g/g creatinine; 11.7 g/d | 1.47 | 1:100 | Patient deceased because of the tumor | 38 |
Prot, proteinuria; S-Crea, serum creatinine; W, woman; neg, negative; M, man; CsA, cyclosporin A; Pred, prednisone; na, not applicable; CYC, cyclophosphamide; MALT, mucosa associated lymphoid tissue.