Abstract
A 59-year-old male had been treated in our hospital since September, 1989 for diabetes, chronic renal failure, and hypertension. The patient has received peritoneal dialysis since January, 1990. In February 1990, chest X-ray revealed a nodular shadow (1.5×1.3 cm) in the left upper lung field.
This was thought to be old tuberculosis and was observed for a while. In March 1991, the enlargement of the nodular shadow (3.0 × 2.7 cm) was noted and the diagnosis of squamous cell carcinoma (c-T2N0M0) was established by transbronchial biopsy.
The patient underwent a left upper lobectomy in June, 1991. Hemodialysis was performed the day before the operation, and peritoneal dialysis was resumed on the day of the operation. Using peritoneal dialysis we were able to sufficiently control postoperative complications. It was recognize that further experience was necessary to know appropriate condition to resume dialysis treatment after surgery.