title: Myeloma-like cast nephropathy associated with acinar cell carcinoma of the pancreas.
abstract: Obstruction of renal collecting tubules by protein cats inciting a giant cell reaction is usually characteristic of myeloma cast nephropathy. Rarely other causes of proteinuria may result in a similar morphology. We report a rare case of 'myeloma-like' tubular casts in the kidney of a patient who was subsequently found at autopsy to have acinar cell carcinoma of the pancreas with peritoneal carcinomatosis. Only two similar reports could be found in the English literature.
authors.affiliation: Department of Pathology, St. Michael's Hospital, Ont., Canada.
authors.forename: K
authors.initials: K
authors.lastname: Reducka
authors.forename: G W
authors.initials: GW
authors.lastname: Gardiner
authors.forename: J
authors.initials: J
authors.lastname: Sweet
authors.forename: A
authors.initials: A
authors.lastname: Vandenbroucke
authors.forename: R
authors.initials: R
authors.lastname: Bear
mesh_terms: D002277:Carcinoma / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000175:diagnosis*; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D010534:Peritoneal Neoplasms / Q000556:secondary