1988 Volume 79 Issue 1 Pages 164-170
Four cases of acquired cystic disease of the kidney (ACDK) complicated with renal cell carcinoma occurring in patients treated by maintenance hemodialysis (HD) are presented.
Case 1. A 61-year-old man treated by maintename HD for approximately six years was admitted for right lower abdominal pain and intermittent gross hematuria and he was found to have ACDK·renal cell carcinoma in the left kidney and ACDK·pelvic tumor in the right kidney. After radical operation, he was treated by medication of adriacin (ADM) and cis-dichlorodiamminoplatinum (CDDP) and has been maintaied under HD 3 times weekly without significant complications.
Case 2. A 61-year-old man treated by HD for approximately six years was admitted for hematuria, general malaise, low-grade fever and weight loss and he was found to have ACDK·renal cell carcinoma in bilateral kidneys. After radical operation, he was treated by medication of Fluorouracil (5-FU), ADM and CDDP and has been maintained under HD.
Case 3. A 51-year-old man treated by HD for approximately 12 years was found to have ACDK·renal cell carcinoma in the right kidney without significant complaint. After right radical nephrectomy, he was treated by medication of CDDP and radiation (total 3, 000rad), and has been mainteind under HD.
Case 4. A 61-year-old man treated by HD for approximately nine years was admitted with general malaise and low grade fever. On the 9th day after administration, he died due to DIC. At autopsy, we found ACDK renal cell carcinoma in the left kidney and metastasis in the left lobe of the liver.
