title: A case of small-cell esophageal cancer with chronic renal failure undergoing hemodialysis safely treated with cisplatin and etoposide.
abstract: A 54-year-old male undergoing hemodialysis was admitted to our hospital because of difficulty in swallowing. Esophagography and esophageal endoscopy revealed an irregular ulcerated lesion in the cervical esophagus. It was diagnosed as a small-cell esophageal cancer from the biopsy sample. Computed tomography showed a tumor infiltrating the trachea and a few lymph node metastases in the cervix, upper mediastinum, and abdomen. The patient was started on chemotherapy with cisplatin (CDDP) and etoposide (VP-16), which had been reported to be effective for small-cell lung cancer. The patient was treated with CDDP (80 mg/m(2)) on day 1 and VP-16 (100 mg/m(2)) on days 1, 3, and 5, every 4 weeks. On the days of chemotherapy, hemodialysis was started as soon as possible after completion of administration of the agents. No severe side effects were observed. After 4 courses of therapy, the patient achieved a partial response.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Murakami
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Akutsu
authors.forename: Yukimasa
authors.initials: Y
authors.lastname: Miyazawa
authors.forename: Kiyohiko
authors.initials: K
authors.lastname: Shuto
authors.forename: Toru
authors.initials: T
authors.lastname: Shiratori
authors.forename: Masaya
authors.initials: M
authors.lastname: Uesato
authors.forename: Isamu
authors.initials: I
authors.lastname: Hoshino
authors.forename: Taito
authors.initials: T
authors.lastname: Aoki
authors.forename: Hisahiro
authors.initials: H
authors.lastname: Matsubara