Abstract
A 72-year-old woman, who had been undergoing maintenance hemodialysis (HD) therapy for 6 years was admitted because of pleural effusion. She was diagnosed as having malignant lymphoma (T-lymphoma, lymphoblastic type, stage IV) based on the results of a supraclavicular lymphnode biopsy. Chemotherapy diminished the pleural effusion and the size of the intrathoracic and para-aortic lymphnodes, but the patient died of poor general condition. Although detection of pleural effusion on a periodic chest X-p examination in maintenance HD patients may not be rare, there have been no reports of patients with T-lymphoma presenting with pleural effusion during maintenance HD therapy. We treated the patient with antineoplastic agents metabolized in the liver, granulocyte-colony stimulating factor (G-CSF) and erythropoietin. We were reminded that it remains difficult to treat HD patients with antineoplastic agents.
