A case of prostaitc cancer in a hemodialysis patient.

Matsuda, Jun; Sakakura, T; Kamizuru, Masato; Terada, Takafumi; Kim, Chang-Woong; Yamakawa, Makoto; Iritani, Yoshiteru; Hashinaka, Yasuo

doi:10.4009/jsdt.27.971

Cited by 1 publication

(2 citation statements)

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“…In hemodialysis patients, only a few cases of prostate cancer have been reported until recently 1–8 . The present report is probably the first case to show a complete response to lung metastasis of prostate cancer in a hemodialysis patient.…”

Section: Discussionmentioning

confidence: 49%

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Prostate cancer with multiple lung metastases in a hemodialysis patient

et al. 2000

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In hemodialysis patients, few cases of prostate cancer have been reported until recently. We present a case of prostate cancer with multiple lung metastases in a chronic hemodialysis patient. A 65-year-old Japanese man who had maintained hemodialysis for 5 years was referred to our hospital with multiple metastatic lung tumors. Serum prostate tumor markers were highly elevated although his plasma testosterone level was within the normal range. A transrectal needle prostate biopsy confirmed a histologic diagnosis of moderately differentiated adenocarcinoma. Androgen blockade therapy was very effective as evidenced by a quick decrease of serum tumor markers. The followup computed tomography scan of the chest performed 3 months later showed a complete disappearance of the coin lesions. The early detection of prostate cancer in hemodialysis patients is difficult because of a lack of urologic symptoms, which indicate the importance of periodic screening by serum tumor markers. Combined androgen blockade is effective even in hemodialysis patients. However, close follow up is necessary because long-term results and prognoses are still unknown.

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Section: Discussionmentioning

confidence: 49%

“…On the other hand, most of the reports emphasized the difficulty of early detection of urogenital malignancies in hemodialysis patients due to a lack of clinical symptoms 6–8 . As for prostate cancer in hemodialysis patients, urologic symptoms are considered the same as in general patients.…”

Section: Discussionmentioning

confidence: 99%