Korean J Urol.
1999 Apr;40(4):492-496.
Acquired Cystic Kidney Disease in Patients Undergoing Long-term Hemodialysis Treatment
- Affiliations
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- 1Department of Urology, College of Medicine Chungnam National University, Taejeon, Korea.
Abstract
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PURPOSE: The present study was designed to evaluate the incidence and characteristics of acquired cystic kidney disease (ACKD) in patients with end-stage renal disease who were treated by chronic hemodialysis, using renal ultrasonography.
MATERIALS AND METHODS
We performed renal ultrasonography as a screening modality in 112 patients treated with long-term hemodialysis due to end-stage renal disease. We classified the patients years from one to six years.
RESULTS
In our study, cystic lesions were noted in 41 patients (36.6%) and there was no sexual predilection of ACKD. Also, a prolonged period of hemodialysis increased the incidence of ACKD, especially for those treated more than 49 months. We encountered a case of renal cell cancer, evaluated it with CT, and then treated it by radical nephrectomy.
CONCLUSIONS
With these results, renal ultrasonography can be used as a screening modality in patients treated with long-term hemodialysis more than 49 months due to end-stage renal disease. As complications occur, further evaluation will be needed.