[Clinico-statistical analysis of renal cell carcinomas in patients on hemodialysis].
Eleven patients on hemodialysis that were surgically treated for renal cell carcinomas during the recent 10 years at our institutes were clinically analyzed. Patients' ages at presentation ranged from 35 to 70 years with an average of 54.8 years. Nine of the 11 patients were males and 2 were females. Periods between the introduction of hemodialysis and the presentation ranged from 1 to 21 years with an average of 11.7 years. The most frequent cause of hemodialysis was chronic glomerulonephritis. Five patients presented with macroscopic hematuria, which was the most frequent clinical manifestation. Transperitoneal nephrectomy through a lumbar oblique incision was performed in 9 of 12 surgical procedures. Transperitoneal resection and retroperitoneal endoscopic resection were performed on 2 patients and 1 patient, respectively. Blood transfusion was performed on 2 patients with retroperitoneal hemorrhage before or after operation and 2 patients with pre-existing renal anemia. Pathologically, 9 patients had pT1a disease. Patients were followed up for up to 7 years and 11 months. One patient died of the disease and 2 patients died of unknown causes. In conclusion, surgical removal of renal cell carcinomas was well tolerated, safe and effective treatment in patients under hemodialysis.
Tomomasa
Hiroshi
H
Department of Urology, Teikyo University School of Medicine.
Saito
Keisuke
K
Kurihara
Koji
K
Yoshii
Takashi
T
Ashizawa
Yoshio
Y
Matsuda
Hidetaka
H
Sato
Mika
M
Okano
Yoshinori
Y
Kamiyama
Yutaka
Y
Sato
Satoshi
S
Iizumi
Tatsuo
T
Umeda
Takashi
T
Yazaki
Tsunetada
T
Shimizu
Hirofumi
H
Hariu
Kyoichi
K
Muramatsu
Hiroshi
H
Adachi
Yoichi
Y
Hariu
Kyoichi
K
Shibuya
Michiko
M
Okada
Eiko
E
Iiyama
Tetsuro
T
Honma
Jiro
J
Irie
Hiroshi
H
Ishikawa
Yuichi
Y
D000328:Adult; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D004724:Endoscopy; D005260:Female; D005921:Glomerulonephritis / Q000628:therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000379:methods; D011379:Prognosis; D006435:Renal Dialysis / Q000009:adverse effects*; D013997:Time Factors