[Renal adenocarcinoma in a dialysis patient with acquired multicystic disease].
ACKD is frequent in chronic dialysis patients: its incidence is proportional to the length of time on dialysis. It occurs also in uremic patients before dialysis and persists, despite a tendency towards involution, in transplanted patients. ACKD is frequently associated with adenoma which can evolve into adenocarcinoma. Screening studies by sonography, eventually completed by CT, are essential to discover patients with ACKD, to follow them up and propose bilateral nephrectomy if ACKD evolves towards malignancy. ACKD should be considered as a pre-malignancy state.
Schillinger
F
F
Service de Néphrologie-Hémodialyse, CHG Troyes.
Montagnac
R
R
Milcent
T
T
Horiot
A
A
Schillinger
D
D
Nollez
F
F
Hopfner
C
C
D000230:Adenocarcinoma / Q000209:etiology* / Q000601:surgery; D000368:Aged; D006801:Humans; D007668:Kidney / Q000473:pathology; D007680:Kidney Neoplasms / Q000209:etiology* / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D007690:Polycystic Kidney Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D011230:Precancerous Conditions; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Adénocarcinome rénal chez un dialysé présentant une maladie multikystique acquise (MMA).