[Diagnosis of renal carcinoma in acquired cystic renal disease. Usefulness of echography in detection during subclinical phase].

Abstract

BACKGROUND:

The patients with end-stage renal disease on periodic hemodialysis often develop acquired cystic renal disease, and they have renal tumours more commonly than the normal population.

METHODS:

To evaluate the usefulness of echography for the evaluation of these lesions and the prevalence of acquired cystic renal disease and occult renal tumours in patients treated with hemodialysis during years, a prospective ultrasonographic study was carried out. To this end, renal echographic studies were performed in 43 asymptomatic patients treated with periodic hemodialysis during 5 years or more. Patients with renal polycystic disease were excluded from the study.

RESULTS:

The overall prevalence of acquired cystic renal disease was 86%. It was higher in males (96%) than in females (70%). Two patients (4.6%) had malignant renal tumours.

CONCLUSIONS:

In view of the high prevalence of tumours in acquired cystic renal disease, it is suggested that periodic echographic studies should be carried out in patients with end-stage renal disease treated with hemodialysis during years to detect renal carcinoma in subclinical stage.

• Authors: J R Ayuso, J Almirall, C Ayuso, C Bru, E Ponz, L Revert
• Journal: Medicina clinica (Med Clin (Barc)) Vol. 96 Issue 16 Pg. 607-10 (Apr 27 1991) ISSN: 0025-7753 [Print] Spain
• Vernacular Title: Diagnóstico del carcinoma renal en la enfermedad renal quística adquirida. Utilidad de la ecografía para su detección en fase subclínica.
• PMID: 2051828 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Female
• Humans
• Kidney Diseases, Cystic (complications, etiology)
• Kidney Failure, Chronic (therapy)
• Kidney Neoplasms (diagnostic imaging)
• Male
• Middle Aged
• Prospective Studies
• Renal Dialysis (adverse effects)
• Time Factors
• Ultrasonography