| 特集名 | 透析医療と他科連携 -- 見逃しやすい疾患を中心に | |
|---|---|---|
| 題名 | 泌尿器科【透析患者の前立腺癌と尿路感染症】 | |
| 発刊年月 | 2011年 02月 | |
| 著者 | 香野 日高 | 慶應義塾大学医学部泌尿器科学教室 |
| 著者 | 中川 健 | 慶應義塾大学医学部泌尿器科学教室 |
| 【 要旨 】 | 維持透析患者は免疫能の低下や栄養障害などがあり，これらが悪性腫瘍の発生や感染症の原因となっていると考えられている．患者の高齢化に伴い，維持透析患者の前立腺癌は著明に増えていくものと予想されている．前立腺癌には手術，小線源療法，外照射，ホルモン療法などのたくさんの治療法がある．われわれは維持透析患者の予後を考慮して治療計画を決定する必要がある．維持透析患者の尿路感染症は尿量が少ないことや膀胱での尿停滞のために，慢性化，重症化をきたしやすい．感染性腎胞はしばしば抗生剤に抵抗性であり，ドレナージ術や腎摘を必要とする．維持透析患者の前立腺癌と尿路感染症の診断と治療について論述する． | |
| Theme | Working in Cooperation with Other Departments for Dialysis Treatment -- Centered Mainly on Easily Overlooked Conditions | |
|---|---|---|
| Title | Prostate cancer and urinary tract infections in hemodialysis patients | |
| Author | Hidaka Kono | Department of Urology, Keio University School of Medicine |
| Author | Ken Nakagawa | Department of Urology, Keio University School of Medicine |
| [ Summary ] | Hemodialysis patients have a compromised immune system and nutritional deficiencies, both of which are associated with a higher incidence of malignant tumors and infections. The incidence of prostate cancer in hemodialysis patients is expected to increase markedly as the population ages. There are a number of therapeutic options for prostate cancer, including prostatectomy, brachytherapy, external beam radiation therapy, and endocrine therapy. It is necessary to decide on a therapy plan taking into account the prognoses of hemodialysis patients. Urinary tract infections which develop in hemodialysis patients often progresses into a chronic, severe status because of low urine volume and bladder stasis. Infectious renal cysts are sometimes resistant to certain types of antibiotics, requiring drainage procedures or nephrectomies. We discuss diagnoses of and therapies for prostate cancer and urinary tract infections in hemodialysis patients. |
|