摘要
目的:探讨维持性血液透析患者并发恶性肿瘤的临床特点。方法:治维持性血液透析并发恶性肿瘤患者24例,对患者的资料进行回顾性分析。结果:24例维持性血液透析并发恶性肿瘤患者,其中男16例,女8例,年龄32～73岁,平均54.2岁,确诊为恶性肿瘤时间:在透析后2个月～3年,平均18.9个月。24例患者中,多囊肾1例(4.2%);间质性肾炎2例(8.3%);梗阻性肾病1例(4.2%);高血压肾病4例(16.7%);糖尿病肾病8例(33.3%);慢性肾小球肾炎8例(33.3%);神经系统恶性肿瘤1例(4.2%);多发性骨髓瘤1例(4.2%);肺癌4例(16.7%);消化系统恶性肿瘤7例(29.2%),其中食管癌1例,胰腺癌1例,肝癌2例,胃癌3例;泌尿系统11例(45.8%),其中前列腺癌1例(4.2%),输尿管癌1例(4.2%),肾癌4例(16.7%),膀胱癌5例(21%)。结论:维持性血液透析患者,比正常人群更易发生恶性肿瘤,要及时筛查,以防漏诊。
Objective:To investigate the clinical features of patients undergoing maintenance hemodialysis concurrent malignancy. Methods:From January 2010 to April 2013,24 cases of hemodialysis patients with malignancy treated in our hospital,the patient data were retrospectively analyzed.Results:24 cases of malignancy in hemodialysis patients,including 16 males and 8females,aged 32 to 73 years,mean age was 54.2 years,the time diagnosed as malignant:From 2 months to 3 years after dialysis,the average was 18.9 months,1 case of polycystic kidney disease(4.2%)in those 24 patients;2 cases of interstitial nephritis(8.3%);1case of obstructive nephropathy(4.2%);4 cases of hypertensive nephropathy(16.7%);8 cases of diabetic nephropathy(33.3%);8cases of chronic glomerulonephritis(33.3%);1 case of nervous system cancer(4.2%);multiple myeloma 1 case(4.2%);4 cases of lung cancer,accounting for 16.7%;7 cases of digestive malignant cancer,accounting for 29.2%,of which 1 case of esophageal cancer,1case of pancreatic cancer,2 cases of liver cancer,3 cases of stomach cancer;11 cases of urinary system,accounting for 45.8%,and 1case of prostate cancer(4.2%),1 case of ureteral carcinoma(4.2%),4 cases of kidney cancer,accounting for 16.7%,5 cases of bladder cancer,accounting for 21%.Conclusions:Patients on maintenance hemodialysis,more malignant tumors than the normal population,so those patients need timely screening,in order to prevent misdiagnosis.
