The Japanese Journal of Clinical Dialysis Vol.17 No.6(9-2)

Theme Malignancy in Chronic Renal Failure
Title Renal cell carcinoma
Publish Date 2001/06
Author Hiroshi Sekino Kojinkai Chuo Clinic
[ Summary ] We have performed operations on 62 renal cell carcinomas (RCC) in hemodialysis patients over the last 17 years. They were divided into two groups; 43 patients with ACDK and 19 patients without ACDK. Significant differences between the two groups were observed in relation to age, sex, underlying diseases and duration of hemodialysis. There was no defference in survival rates, after operations in either group. One patients died due to RCC. Metastasis was discovered in 2 patients, with RCC with ACDK. The doubling time (DT), in 35 patients, was 373 days on average (ranging from 35 to 1614 days). The clinical stage, based on classification of TNM was T3bN2M0 in 1 patient, who died of RCC, and T1N0M0 in the remaining patients. It was concluded that the prognosis for hemodialysis patients with RCC was improved by use of a regular check-up system and early surgical treatment.
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