A 60-year-old male was referred to our hospital due to a well-delineated
tumor (4 x 4 x 3 cm) in the left hilar region demonstrated by chest X-ray examination. Bronchofiberscopic biopsy showed evidence of well moderately differentiated
epidermoid carcinoma. Since the
tumor infiltrated to a part of the pericardium, left
pneumonectomy and partial resection of pericardium were performed. The disease was p-T2, N1, M0, and state II.
Anemia was corrected with
Erythropoietin, and
hemodialysis was performed for 3 consecutive days before operation.
Hemodialysis 3 times per week was initiated from 2 days after operation.
Hyperkalemia was successfully treated by GI
therapy (continuous
intravenous infusion of glucose+insulin). His postoperative course was good without
bleeding and
infection. He was discharged 37 days after operation and has been observed on an outpatient basis. With an increased and aging patients on chronic
hemodialysis, the operations for various malignant
tumors have been increasing. However, there are few reports on operation for
lung cancer and no report on
pneumonectomy in such patients in Japan. We performed
pneumonectomy for
lung cancer detected in a patient on chronic
hemodialysis for 4 years and obtained good results.