Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients

Introduction. Renal cell carcinoma (RCC) is derived from renal tubular epithelial cells and represents approximately 3.8% of all malignancies in adults. The incidence of renal cell carcinoma has been growing steadily and ranging from 0.6 to 14.7 for every 100,000 inhabitants. Patients with...

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Main Authors: Mijušković Mirjana, Milović Novak, Kovačević Božidar, Jovanović Dragan, Stefanović Dara, Ignjatović Ljiljana, Terzić Brankica, Tadić-Pilčević Jelena, Petrović Marijana, Pilčević Dejan, Obrenčević Katarina, Cerović Snežana
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2015-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500027M.pdf
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author Mijušković Mirjana
Milović Novak
Kovačević Božidar
Jovanović Dragan
Stefanović Dara
Ignjatović Ljiljana
Terzić Brankica
Tadić-Pilčević Jelena
Petrović Marijana
Pilčević Dejan
Obrenčević Katarina
Cerović Snežana
author_facet Mijušković Mirjana
Milović Novak
Kovačević Božidar
Jovanović Dragan
Stefanović Dara
Ignjatović Ljiljana
Terzić Brankica
Tadić-Pilčević Jelena
Petrović Marijana
Pilčević Dejan
Obrenčević Katarina
Cerović Snežana
author_sort Mijušković Mirjana
collection DOAJ
description Introduction. Renal cell carcinoma (RCC) is derived from renal tubular epithelial cells and represents approximately 3.8% of all malignancies in adults. The incidence of renal cell carcinoma has been growing steadily and ranging from 0.6 to 14.7 for every 100,000 inhabitants. Patients with end-stage renal disease and acquired cystic kidney disease are at increased risk of developing RCC while undergoing dialysis treatment or after renal transplantation. Case report. We presented 3 patients undergoing hemodialysis, with acquired cystic kidney disease accompanied by the development of RCC. In all the patients tumor was asymptomatic and discovered through ultrasound screening in 2 patients and in 1 of the patients by post-surgery pathohistological analysis of the tissue of the kidney excised using nephrectomy. All the three patients had organ-limited disease at the time of the diagnosis and they did not require additional therapy after surgical treatment. During the follow- up after nephrectomy from 6 months to 7 years, local recurrence or metastasis of RCC were not diagnosed. Conclusion. Acquired cystic kidney disease represents a predisposing factor for the development of renal cell carcinoma in dialysis patients and requires regular ultrasound examinations of the abdomen aimed at early diagnosis of malignancies. Prognosis for patients with endstage renal disease and RCC is mostly good because these tumors are usually of indolent course.
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spelling doaj-art-b28f6cf60fd44ed9b679c8d3c510dc072025-08-20T03:39:25ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202015-01-01721093293610.2298/VSP140311027M0042-84501500027MAcquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patientsMijušković Mirjana0Milović Novak1Kovačević Božidar2Jovanović Dragan3Stefanović Dara4Ignjatović Ljiljana5Terzić Brankica6Tadić-Pilčević Jelena7Petrović Marijana8Pilčević Dejan9Obrenčević Katarina10Cerović Snežana11Military Medical Academy, Clinic of Nephrology, Belgrade + Military Medical Academy, Clinic of Urology, BelgradeMilitary Medical Academy, Clinic of Urology, Belgrade + Military Medical Academy, Institute of Pathology, BelgradeMilitary Medical Academy, Institute of Pathology, BelgradeMilitary Medical Academy, Clinic of Nephrology, Belgrade + Military Medical Academy, Clinic of Urology, BelgradeMilitary Medical Academy, Clinic of Urology, Belgrade + Military Medical Academy, Institute of Radiology, BelgradeMilitary Medical Academy, Clinic of Nephrology, BelgradeMilitary Medical Academy, Clinic of Nephrology, BelgradeMilitary Medical Academy, Clinic of Nephrology, Belgrade + Military Medical Academy, Clinic of Urology, BelgradeMilitary Medical Academy, Clinic of Nephrology, Belgrade + Military Medical Academy, Clinic of Urology, BelgradeMilitary Medical Academy, Clinic of Nephrology, BelgradeMilitary Medical Academy, Centar for Solid Organ Transplantation, BelgradeMilitary Medical Academy, Clinic of Urology, Belgrade + Military Medical Academy, Institute of Pathology, BelgradeIntroduction. Renal cell carcinoma (RCC) is derived from renal tubular epithelial cells and represents approximately 3.8% of all malignancies in adults. The incidence of renal cell carcinoma has been growing steadily and ranging from 0.6 to 14.7 for every 100,000 inhabitants. Patients with end-stage renal disease and acquired cystic kidney disease are at increased risk of developing RCC while undergoing dialysis treatment or after renal transplantation. Case report. We presented 3 patients undergoing hemodialysis, with acquired cystic kidney disease accompanied by the development of RCC. In all the patients tumor was asymptomatic and discovered through ultrasound screening in 2 patients and in 1 of the patients by post-surgery pathohistological analysis of the tissue of the kidney excised using nephrectomy. All the three patients had organ-limited disease at the time of the diagnosis and they did not require additional therapy after surgical treatment. During the follow- up after nephrectomy from 6 months to 7 years, local recurrence or metastasis of RCC were not diagnosed. Conclusion. Acquired cystic kidney disease represents a predisposing factor for the development of renal cell carcinoma in dialysis patients and requires regular ultrasound examinations of the abdomen aimed at early diagnosis of malignancies. Prognosis for patients with endstage renal disease and RCC is mostly good because these tumors are usually of indolent course.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500027M.pdfrenal dialysiskidney diseases, cystichemodyalisisnephrectomytreatment outcome
spellingShingle Mijušković Mirjana
Milović Novak
Kovačević Božidar
Jovanović Dragan
Stefanović Dara
Ignjatović Ljiljana
Terzić Brankica
Tadić-Pilčević Jelena
Petrović Marijana
Pilčević Dejan
Obrenčević Katarina
Cerović Snežana
Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients
Vojnosanitetski Pregled
renal dialysis
kidney diseases, cystic
hemodyalisis
nephrectomy
treatment outcome
title Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients
title_full Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients
title_fullStr Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients
title_full_unstemmed Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients
title_short Acquired cystic disease and renal cell carcinoma in hemodialysis patients: A case report on three patients
title_sort acquired cystic disease and renal cell carcinoma in hemodialysis patients a case report on three patients
topic renal dialysis
kidney diseases, cystic
hemodyalisis
nephrectomy
treatment outcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500027M.pdf
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