If the kidney biopsy is done in a bronchogenic carcinoma patient who presents as a case of nephrotic syndrome, which lesions will be seen most likely?
Membranous GN
Focal proliferative GN
Minimal change disease
Focal segmental glomerulosclerosis
If a nephrotic syndrome presents in an adult patient, underlying malignancy should be considered. It may be found in 10- 22% of cases, being more prevalent in the older age group. Though both MGN and MPGN can be associated with lung malignancy, on a comparative basis the more commonly seen is MGN and is hence the answer in the question.
Nephrotic and Nephritic syndrome