Journal of the American Society of Nephrology
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Journal of the American Society of Nephrology, Vol 1, Issue 5 828-831, Copyright © 1990 by American Society of Nephrology


REGULAR ARTICLES

Prediction of carcinoma in acquired cystic disease as a function of kidney weight

ML MacDougall, LW Welling and TB Wiegmann
Department of Medicine University of Kansas Medical Center, Kansas City.

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.





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