| Theme | Malignancy in Chronic Renal Failure | |
|---|---|---|
| Title | Lung cancer in chronic dialysis patients | |
| Publish Date | 2001/06 | |
| Author | Seiji Ohira | Department of Surgery and Kidney Center, Nikko Memorial Hospital |
| Author | Yasushige Tsuji | Department of Surgery and Kidney Center, Nikko Memorial Hospital |
| Author | Kenji Abe | Department of Surgery and Dialysis Center, Iwamizawa Municipal General Hospital |
| [ Summary ] | It has been statistically shown that various cancers are more predominant in chronic dialysis patients than in the general population. As for lung cancer, the report of Maison neuve et al showed no definite increased incidence in this specific group of patients. On the otherhand, Japanese reports revealed that lung cancers were found more frequently in chronic dialysis patients. 32 cases which appeared in Japanese literature were analyzed and the following tentative results were obtained: (1) About 30% of the cases were introduced into dialysis therapy accompanied by lung cancer and the persentage 5 years after initiating dialysis was found to be around 45%. (2) Surgical resection, anti-cancer agents and radiation therapy were carried out on these 32 cases and about 67% of the deaths occurred within 2 years. As chest X-Ps of chronic dialysis patients were frequently accompanied by congestion, calcification and inflammation, etc., readings are difficult. Time is therefore apt to be wasted until a final diagnosis is established. Non-invasive diagnostic means such as CT, MRI and PET should be mandatory in order to obtain an early, definite diagnosis. The accumulation and precise analysis of applicable cases is an important subject for future consideration. | |