Abstract
Breast cancer that develops during maintenance dialysis should be carefully treated due to problems concerning vascular access of the affected side and pharmacotherapy. In this study, we examined 4 patients who were treated for breast cancer that had developed during maintenance dialysis.
The patients were women aged 50-75 years, one of whom had an internal shunt on the affected side. They underwent total mastectomy or breast conservation for the breast lesions, and dissection or sentinel lymph node biopsy of the axillary lymph nodes. The operative duration was 53-143 minutes, and the amount of bleeding in all patients was small. Regarding anticoagulant therapy, nafamostat mesilate was administered for the first dialysis after surgery. As postoperative adjuvant chemotherapy, standard-dose hormone therapy was administered to all patients, and a standard dose of tegafur/uracil was included for 1 patient. Standard-dose radiotherapy was administered to the patients undergoing breast conservation. All patients are alive without dialysis-related problems or recurrence at 1 year 1 month to 5 years 3 months after the surgery.
