Abstract
The patient was a 71-year-old male, who has been under hemodialysis since January 1996. He complained of gross hematuria in March 1997. The serum level of PSA was 37.2ng/mL and histological examination revealed well differentiated adenocarcinoma of the prostate gland. Clinical stage was determined as T2a. Following hormonal therapy for 8 months, the patient was treated with radiotherapy. Total 70Gy/35 fractions/58 days using 120 degree bilateral arc rotation radiotherapy was administered to the prostate. The patient complained of bilateral hip joint pain since April 1999 and was diagnosed as having bilateral old femoral neck fractures in June 2000. The serum PSA value has remained below 0.5ng/mL since May 1998. Radical prostatectomy is inevitably accompanied by massive bleeding in case of hemodialysis patients. Prostate carcinoma is difficult to completely cure by hormonal therapy. We consider that radiotherapy is a suitable treatment for patients on hemodialysis with clinical stage T1/T2 prostate cancer.
