Three case reports of lung cancer under maintenance hemodialysis

Abstract

Case 1 was a 63-year-old woman who had received maintenance hemodialysis for 3 years. She was admitted due to an abnormality on chest X-ray, and right upper lobectomy was performed. Histological findings revealed bronchioloalveolar cell carcinoma and the postoperative staging was T2N0M0. She is alive without any signs of recurrence for three years. Case 2 was a 59-year-old woman who had received hemodialysis for 12 years. She was admitted due to an abnormality on chest X-ray. Right upper and middle lobectomy was performed, and because of massive air leakage re-thoracotomy was performed on the first postoperative day. Histological findings revealed moderately differentiated adenocarcinoma, and the postoperative staging was T2N0M0. She is alive without any signs of recurrence for 18 months. Case 3 was a 62-year-old man who had received hemodialysis for one year. He was admitted because of dyspnea and hemosputum. Squamous cell carcinoma of the left lung was diagnosed. Irradiation therapy was performed because of pulmonary metastasis, but after 6 months he died of respiratory failure. Under careful perioperative management, operation for lung cancer in patients under hemodialysis can be performed safely. Appropriate chemotherapy strategy should be designed immediately.