Transitional cell carcinoma of the bladder in four patients on maintenance hemodialysis.
2004
We report four patients on maintenance hemodialysis(HD)with transitional cell carcinoma (TCC)of the bladder. Three patients underwent transurethral resection(TUR) of their tumors which were grade 2 or 3 stage pT1 TCC. Among them one patient underwent repeat TUR for recurrent superficial TCC. The remaining one patient underwent total cystectomy for grade 3 stage pT4 TCC and squamous cell carcinoma of the bladder. Subsequently he died suddenly without evidence of local recurrence or systemic metastasis. We discuss the relationship between the duration of HD and the tumor grade and stage of primary bladder TCC in maintenance HD patients. (J Nippon Med Sch 2004; 71: 408―411)
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