Ricci S Basso
Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy.
Clin Nephrol. 2007 Dec;68(6):354-6. doi: 10.5414/cnp68354.
From a critical review of series of patients on hemodialysis for chronic renal failure and operated for renal neoplasms, it appears there is a low incidence of metastases compared to series of patients operated for malignant renal neoplasms and who have not undergone hemodialysis. In patients on hemodialysis, there are various elements that can influence the diffusion of metastatic cells, such as cytokines, tumor necrosis factor-alpha, anticoagulants and bisphosphonates. However, particular reference must be made to the possibility of the dialysis membrane in the blocking or inactivation of tumor cells.
通过对接受慢性肾衰竭血液透析并接受肾肿瘤手术的一系列患者的严格审查，与接受恶性肾肿瘤手术且未接受血液透析的一系列患者相比，转移发生率似乎较低。在接受血液透析的患者中，有多种因素可影响转移细胞的扩散，如细胞因子、肿瘤坏死因子-α、抗凝剂和双膦酸盐。然而，必须特别提及透析膜阻断或使肿瘤细胞失活的可能性。
