The Japanese Journal of Clinical Dialysis Vol.17 No.6(9-3)

Theme Malignancy in Chronic Renal Failure
Title Treatment of bladder tumor in hemodialysis patients
Publish Date 2001/06
Author Sumihiro Shirai Department of Urology, Nojiri Hospital
Author Akihiro Nojiri Department of Urology, Nojiri Hospital
[ Summary ] Hemodialysis patients', malignant tumors have high incidence rates of as compared to the general population. Above all, it is reported that the death, due to urinary cancers in hemodialysis patients, is the second only to alimentary canal tract cancers, as seen infigures provided by the Registration Committee Headquarters of the Japanese Society for Dialysis Therapy (1999).
In Japanese medical literature in which 35 casps of bladder it has been reported that the highest rate of urological malignancy is due to immunological insufficiencies in the compromised host.
In particular, advanced stage (pT 2<) amountted to 75% and radical cystectomies were performed on half of the total and radiation was performed on 13.2%.
It is important for hemodialysis patients that we find cancer in its early stages, because of an insufficiency of low urinary symptoms.
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