Abstract
A 65-year-old male on chronic haemodialysis for 6 years underwent a right lower lobectomy and mediastinal lymph node dissection. Microscopically, the tumor was a well differentiated squamous cell carcinoma with metastasis to mediastinal lymph nodes. He was managed well with frequent daily haemodialyses for 4 days before and after operation respectively. Although immunotherapy with Nocardia rubra-CWS was begun after discharge, a symptom of cerebral metastasis appeared 3 months later, and he developed right hemiparesis. In spite of irradiation to the cerebral metastatic lesion and chemotherapy with Bleomycin, he died of cancer 6 months postoperatively.
