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Acquired Renal Cystic Disease: Implications for the Urologist
Author(s) -
BRENNAN J. F.,
STILMANT MAGDA M.,
BABAYAN R. K.,
SIROKY M. B.
Publication year - 1991
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1991.tb15158.x
Subject(s) - medicine , disease , dialysis , cystic kidney disease , peritoneal dialysis , nephrectomy , kidney disease , end stage renal disease , population , stage (stratigraphy) , intensive care medicine , kidney , urology , paleontology , environmental health , biology
Summary— Acquired cystic kidney disease has become increasingly recognised as a significant risk in patients with end‐stage renal disease, especially in those maintained on chronic haemodialysis and peritoneal dialysis. A review of the literature indicates that nearly 50% of patients on dialysis for more than 3 years develop renal cystic changes. The major complications of this condition are neoplasia and spontaneous renal haemorrhage. The risk of developing renal carcinoma has been estimated to be more than 30 times higher in dialysis patients with cystic changes than in the general population. Our experience with 5 patients is reported, including 3 with renal tumours and 1 with metastatic disease. Careful surveillance of dialysis patients using yearly ultrasonography and computed tomography is recommended. The evolving indications for radical nephrectomy in this disease are discussed.