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Medline ® Abstract for Reference 23

of 'Acquired cystic disease of the kidney in adults'

Prediction of carcinoma in acquired cystic disease as a function of kidney weight.
MacDougall ML, Welling LW, Wiegmann TB
J Am Soc Nephrol. 1990;1(5):828.
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.
Department of Medicine University of Kansas Medical Center, Kansas City.