[A case of acquired cystic disease of bilateral kidneys with renal cell carcinoma following long-term hemodialysis].
We report a case of bilateral renal cell carcinoma which developed during about 14 years of hemodialysis. The patient of male was a 39-year-old with a chief complaint of macrohematuria 14 years prior to dialysis therapy. Computed tomography revealed multiple cystic changes of bilateral kidneys and a high density area in the right kidney. He was admitted to our department in April 1988. He was suspected of renal cell carcinoma of the right kidney and underwent transperitoneal radical nephrectomy on the right kidney. The left kidney was also resected simultaneously in part because it failed to function and in part because the long-term hemodialyzed patients are considered to have a complication of renal cell carcinoma at a high frequency. Pathological diagnosis was bilateral acquired cystic disease of the kidney (ACDK) with renal cell carcinoma. The kidney develops multiple cystic changes following long-term hemodialysis, which forms a high risk for development of renal cell carcinoma. This is a case of bilateral renal cell carcinoma which occurred after long-term hemodialysis, was reported with discussion and reference to the literature.
Gotoh
A
A
Department of Urology, Kobe University School of Medicine, Japan.
Gohji
K
K
Mizuno
Y
Y
Arakawa
S
S
Matsumoto
O
O
Kamidono
S
S
Yamanaka
N
N
Shin
S
S
D000328:Adult; D002292:Carcinoma, Renal Cell / Q000209:etiology*; D006801:Humans; D052177:Kidney Diseases, Cystic / Q000209:etiology*; D007680:Kidney Neoplasms / Q000209:etiology*; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*; D013997:Time Factors