Primary Article

Hemodialysis and Renal Transplantation in Patients With Hypernephroma

Authors: MIKE K. MIRAHMADI MD, N. DABIR VAZIRI MD, R. L. WINER MD, A. GIBERSON MD, D. E. GENTILE MD, R. B. MILLER MD, J. T. GORMAN MD.

Abstract

ABSTRACTOf five patients with hypernephroma who were maintained on hemodialysis after nephrectomy, four died with metastatic disease after having been on hemodialysis for an average of 13.7 months (range 8 to 19). The fifth patient had no evidence of malignancy after 21 months of dialysis; he then received a renal allograft from his sister, and did well for 24 months before he developed liver metastasis. We believe hemodialysis is an appropriate mode of treating the renal failure of patients with hypernephroma after therapeutic nephrectomy. These patients may be considered for renal transplantation after a period of hemodialysis, and we suggest the currently recommended 12-month waiting period before transplantation be extended to 18 to 24 months. Use of living related donor renal allograft in these patients is questionable.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References