Surgical treatment for buccal cancer in a 63-yearold male who had received hemodialysis for 10 years was performed.
Preoperative examination revealed that he had choronic hepatitis C, mitral regurgitation and hypertension. He had undergone tumor excision and reconstruction with a pectoralis major myocutaneous flap.
Due to careful management, it was an uneventful operation.
Postoperatively, hyperkalemia, hypoproteinemia, anemia and partial necrosis of the flap occurred, but were alleviated with appropriate management including urgent hemodialysis.
The patient's prognosis was good for 8 months after the operation, but he died suddenly from pneumonia in another hospital.
There have been few reports on operations for oral cancer in hemodialysis patients. This experience was very significant.
