© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Hyponatraemia
Hyponatraemia in a woman with a pelvic mass
Department of Medicine and Therapeutics, Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China
Correspondence to:
Correspondence to:
Dr C C Szeto, Department of Medicine and Therapeutics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong;
ccszeto@cuhk.edu.hk
Accepted 14 October 2002
Answers on p 63.
Keywords: pulmonary nodules; hydatid disease
| The first 150 words of the full text of this article appear below. |
A 57 year old Chinese woman was admitted with a bulky, right lower abdominal mass. She was known to have end stage renal disease and had received a cadaveric renal transplant eight years previously. Further investigation with imaging confirmed an irregular, soft tissue mass in the right iliac and pelvic region with mass effect compressing on the ureter of the graft kidney. There was significant hypercalcaemia with a serum calcium level of 3.02 mmol/l (normal range 2.20–2.62 mmol/l). The serum sodium and creatinine levels were 135 mmol/l (normal range 134–145 mmol/l) and 141 µmol/l (normal range 44–107 µmol/l), respectively. A biopsy of the pelvic mass showed a post-transplant lymphoproliferative disorder.
Chemotherapy was started in view of the extensive disease involvement. Treatment consisted of doxorubicin, cyclophosphamide, vincristine, and prednisolone (CHOP) after saline fluid administration. The patient tolerated the chemotherapy well without development of acute tumour lysis. Clinical response was achieved,
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Hyponatraemia in a lady with a pelvic mass
Postgrad. Med. J. 2003 79: 63.[Extract] [Full Text] [PDF]
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