title: [Clinico-statistical analysis of renal cell carcinomas in patients on hemodialysis].
abstract: 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.
authors.affiliation: Department of Urology, Teikyo University School of Medicine.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tomomasa
authors.forename: Keisuke
authors.initials: K
authors.lastname: Saito
authors.forename: Koji
authors.initials: K
authors.lastname: Kurihara
authors.forename: Takashi
authors.initials: T
authors.lastname: Yoshii
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Ashizawa
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Matsuda
authors.forename: Mika
authors.initials: M
authors.lastname: Sato
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Okano
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kamiyama
authors.forename: Satoshi
authors.initials: S
authors.lastname: Sato
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Iizumi
authors.forename: Takashi
authors.initials: T
authors.lastname: Umeda
authors.forename: Tsunetada
authors.initials: T
authors.lastname: Yazaki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Shimizu
authors.forename: Kyoichi
authors.initials: K
authors.lastname: Hariu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Muramatsu
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Adachi
authors.forename: Kyoichi
authors.initials: K
authors.lastname: Hariu
authors.forename: Michiko
authors.initials: M
authors.lastname: Shibuya
authors.forename: Eiko
authors.initials: E
authors.lastname: Okada
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Iiyama
authors.forename: Jiro
authors.initials: J
authors.lastname: Honma
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Irie
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ishikawa
mesh_terms: 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