Prediction of carcinoma in acquired cystic disease as a function of kidney weight.
Acquired renal cystic disease occurs in up to 80% of patients on chronic dialysis and is complicated by renal adenocarcinoma in about 6% of cases. This report suggests that acquired cystic kidneys weighing more than 150 g are six times more likely to contain carcinoma than are kidneys of smaller size. This relationship is true whether or not the large kidney contains a radiologically detectable tumor. Therefore, even in the absence of demonstrable tumor mass, strong consideration should be given to the removal of large acquired cystic kidneys.
MacDougall
M L
ML
Department of Medicine University of Kansas Medical Center, Kansas City.
Welling
L W
LW
Wiegmann
T B
TB
D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000473:pathology; D005544:Forecasting; D006801:Humans; D007668:Kidney / Q000473:pathology*; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D007690:Polycystic Kidney Diseases / Q000150:complications* / Q000473:pathology; D012372:ROC Curve