839 results match your criteria: "Acquired Cystic Kidney Disease"

Article Synopsis
  • * A 78-year-old man with a history of heart issues presented with end-stage renal disease and severe anemia after a fall at home, with lab results showing extremely high creatinine and blood urea nitrogen levels.
  • * Imaging revealed numerous renal cysts, and despite no family history of polycystic kidney disease, his case highlights the importance of thorough evaluation for rare conditions like acquired cystic kidney disease before starting dialysis.
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Standard quantitative abdominal MRI techniques are time consuming, require breath-holds, and are susceptible to patient motion artifacts. Magnetic resonance fingerprinting (MRF) is naturally multi-parametric and quantifies multiple tissue properties, including T and T. This work includes T* and off-resonance mapping into a free-breathing MRF framework utilizing a pilot tone navigator.

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Purpose: Autosomal dominant polycystic kidney disease (ADPKD) is the most common cause of end-stage kidney disease. It has been shown that Acyl-CoA thioesterase 13 () level was reduced in renal cystic tissues from ADPKD patients. However, the role of in ADPKD remains largely elusive.

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Advancing the molecular understanding of renal tumorigenesis: Acquired cystic disease-associated renal cell carcinoma (ACD-RCC) as a model system.

Ann Diagn Pathol

December 2024

Department of Pathology and Laboratory Medicine, Department of Surgery (Urology), Brown University Warren Alpert Medical School, the Legorreta Cancer Center at Brown University, Brown University Health, Providence, RI, United States of America. Electronic address:

In summary, the study's investigation of KMT2C and TSC2 variants in ACD-RCC marks a significant advancement in comprehending this distinct kidney tumor. By illuminating the molecular landscape of ACD-RCC, the research sets the stage for future studies aimed at revealing the complex mechanisms driving tumor development and progression. This understanding could eventually lead to more effective management and treatment strategies for renal cancer patients.

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Article Synopsis
  • The study investigates the genetic variants KMT2C and TSC2 in acquired cystic disease-associated renal cell carcinomas (ACD-RCCs) and their potential role in tumor development.
  • Researchers analyzed a total of 39 samples, including ACD-RCCs and related cysts, using DNA-targeted sequencing and immunohistochemistry.
  • Findings revealed that while KMT2C and TSC2 variants were present in several ACD-RCC samples, they are not likely the main contributors to tumor formation in this specific type of cancer.
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Unlabelled: Adult polycystic kidney disease (APKD) is a genetic disorder leading to premature renal dysfunction and failure. The prevalence of malignant renal tumors occurring in the APKD setting has been rarely reported.

Objective: To better characterize malignant renal tumors in nephrectomy specimens of APKD and apply modern pathologic evaluation.

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Background: End-stage and acquired cystic renal disease (ESRD/ACRD) kidneys are characterized by inflammatory remodelling and multiplex renal cell carcinomas (RCC). Eosinophilic vacuolated tumour (EVT) occurs exclusively in ACRD. The aim of this study was to identify the involvement of thioredoxin-interacting protein (TXNIP) and thioredoxin (TXN) in ESRD/ACRD pathology.

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[Acquired cystic kidney hemorrhage in peritoneal dialysis patients: A report of three cases].

Beijing Da Xue Xue Bao Yi Xue Ban

June 2024

Department of Nephrology, Peking University First Hospital; Institute of Nephrology, Peking University; Key Lab of Renal Disease, Ministry of Health of China; Key Laboratory of CKD Prevention and Treatment, Ministry of Education of China, Beijing 100034, China.

Spontaneous renal cyst hemorrhage is one of the clinical emergencies in peritoneal dialysis (PD) patients and is potentially life-threatening. The main complaints are sudden low back pain, paleness, and hypotensive shock with or without vomiting or fever. In contrast to inherited polycystic kidney disease, acquired cystic kidney disease (ACKD) secondary to chronic kidney disease is easily overlooked or delayed in clinical diagnosis and treatment, leading to severe clinical outcomes.

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Acquired cystic disease associated renal cell carcinoma: A clinicopathologic and molecular study of 31 tumors.

Hum Pathol

July 2024

Department of Pathology and Laboratory Medicine, Henry Ford Health, Detroit, MI, USA; Department of Medicine, College of Human Medicine, Michigan State University, East Lansing, MI, USA. Electronic address:

Acquired cystic disease associated renal cell carcinomas (ACD-RCC) are rare and their molecular and histopathological characteristics are still being explored. We therefore investigated the clinicopathologic and molecular characteristics of 31 tumors. The patients were predominantly male (n = 30), with tumors mainly left-sided (n = 17), unifocal (n = 19), and unilateral (n = 29) and a mean tumor size of 25 mm (range, 3-65 mm).

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Article Synopsis
  • Dialysis patients face a heightened risk of developing renal cell carcinoma (RCC), but distinguishing RCC from benign cysts can be challenging with standard imaging techniques like CT and ultrasound.
  • This study conducted between 2012 and 2016 used FDG-PET/CT to screen for RCC in 150 participants with end-stage renal disease, with evaluations made by three radiologists.
  • The results showed that FDG-PET/CT had a high sensitivity (100%) and negative predictive value (100%), ultimately diagnosing RCC in seven out of twenty patients identified as positive for malignancy.
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Bilateral renal lymphangiectasia: Literature review of a rare entity.

Saudi Med J

May 2024

From the Department of Surgery (Ayed), from the Department of Pathology (Sohail, Rizvi), College of Medicine, University of Bisha; and from the Department of Urology (Alwadai), King Abdullah Hospital, Ministry of Health, Bisha, Kingdom of Saudi Arabia.

Article Synopsis
  • Renal lymphangiectasia (RL) is a rare condition characterized by dilated lymphatic vessels leading to cysts in various kidney locations, and its understanding largely stems from individual case reports.
  • The condition can be genetic or acquired, affects individuals of any gender or age, and often presents as abdominal or flank pain, being either focal or diffuse and unilateral or bilateral.
  • Diagnosis relies on imaging techniques, and while treatment is typically conservative, there is a need for long-term monitoring for complications like hypertension and renal vein thrombosis; a case of bilateral RL is discussed alongside a literature review.
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Erythrocytosis and CKD: A Review.

Am J Kidney Dis

October 2024

Division of Nephrology, Department of Medicine IV, Hospital of the Ludwig-Maximilians University, Munich, Germany.

Erythrocytosis or polycythemia is defined as an increase in red blood cell concentration above the age- and sex-specific normal levels. Unlike anemia, which is very common in patients with chronic kidney disease (CKD), erythrocytosis is less frequent but requires specific understanding by health care professionals in order to provide the best care. Erythrocytosis, especially when undiagnosed and untreated, can lead to serious thrombotic events and higher mortality.

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Acquired cystic kidney disease (ACKD) can occur in patients with chronic kidney disease and kidney failure, and its incidence increases with the duration of dialysis. In adults, ACKD is less common in the pre-dialysis group (~ 7%), but its incidence can be as high as 80% for those who are on dialysis for more than ten years. There is, however, very little information about the prevalence of ACKD in children.

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Acquired cystic disease-associated renal cell carcinoma (ACD-RCC) is a common subtype of renal cell carcinoma (RCC) in end-stage renal disease (ESRD) patients. The current systematic review and meta-analysis was performed to evaluate the clinicopathological, and genetic characteristics of patients with ACD-RCC. A systematic search on three electronic databases including the Pubmed, Scopus, and Web of Science databases were performed until December 31, 2022.

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In autosomal dominant polycystic kidney disease (ADPKD) with germline mutations in a or gene, innumerable cysts develop from tubules, and renal function deteriorates. Second-hit somatic mutations and renal tubular epithelial (RTE) cell death are crucial features of cyst initiation and disease progression. Here, we use established RTE lines and primary ADPKD cells with disease-associated mutations to investigate genomic instability and DNA damage responses.

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Japanese 17q12 Deletion Syndrome with Complex Clinical Manifestations.

Intern Med

March 2024

Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Iwate Medical University, Japan.

Article Synopsis
  • - 17q12 deletion syndrome is a rare genetic condition caused by a specific deletion on chromosome 17, leading to varied health issues in individuals.
  • - A 35-year-old Japanese man was studied, revealing a 1.46 Mb deletion causing multiple health problems, including maturity-onset diabetes, kidney and liver issues, and facial dysmorphic characteristics.
  • - This case adds to our understanding of the diverse symptoms associated with 17q12 deletion syndrome, highlighting its clinical implications.
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Imaging of Perirenal and Intrarenal Lymphatic Vessels: Anatomy-based Approach.

Radiographics

March 2024

From the Department of Radiology (H.T., A.I., T.A.P., N.T.) and Department of Medicine, Division of Rheumatology (Y.S.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Okayama City Hospital, Okayama, Japan (T.T.); Department of Radiology, Jichi Medical University, Tochigi, Japan (S.M.); Department of Diagnostic and Interventional Radiology, University of Tsukuba, Ibaraki, Japan (M.M.); and Department of Radiology, Mayo Clinic, Scottsdale, Ariz (A.K.).

Article Synopsis
  • The lymphatic system includes lymphoid organs and vessels, but findings related to intrarenal and perirenal lymphatic vessels are not well-documented in radiology.
  • Lymphatic pathways in the renal cortex allow lymph to travel towards the hilum and capsular plexus, which can be visualized through contrast medium during CT urography, indicating possible complications like pyelolymphatic backflow.
  • Conditions like congenital renal lymphangiectasia and acquired renal complications can affect imaging post-kidney transplant, with distinct fluid patterns in the urinary tract indicating issues like chyluria, highlighting the importance of understanding lymphatic pathways for effective cancer management.
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Acquired cystic disease-associated renal cell carcinoma (ACD-RCC) is an extremely rare kidney tumor seen mainly in patients with end-stage renal disease. Currently, there are few reports on this type of tumor. We describe the case of a 58-year-old man who had been receiving peritoneal dialysis for more than nine years due to chronic renal insufficiency and uremia.

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An Artificial Intelligence Generated Automated Algorithm to Measure Total Kidney Volume in ADPKD.

Kidney Int Rep

February 2024

Academic Nephrology, Division of Clinical Medicine, School of Medicine and Population Health, Faculty of Health, University of Sheffield, Sheffield, UK.

Introduction: Accurate tools to inform individual prognosis in patients with autosomal dominant polycystic kidney disease (ADPKD) are lacking. Here, we report an artificial intelligence (AI)-generated method for routinely measuring total kidney volume (TKV).

Methods: An ensemble U-net algorithm was created using the nnUNet approach.

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Multiple tumors of different lineages merging into a single mass, termed collision tumors, are considered a rare phenomenon in the kidney. Tumor components, or partners, may be malignant (including metastatic disease), borderline, or benign. We report the largest cohort to date of 48 cases.

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Background/aim: End-stage renal disease (ESRD) and acquired cystic renal disease (ACRD) are characterized by progressive inflammation, structural remodeling and by development of unique cancer types. Eosinophilic-vacuolated and chromophobe-like renal cell carcinoma develop exclusively in ACRD kidney. The aim of the study was to investigate the molecular mechanism of ESRD/ACRD carcinogenesis.

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Ultrasonography is increasingly being performed by clinicians at the point of care, and nephrologists are no exception. This Core Curriculum illustrates how ultrasonography can be incorporated into clinical decision making across the spectrum of kidney disease to optimize the care nephrologists provide to patients. Sonography is valuable in outpatient and inpatient settings for the diagnosis and management of acute and chronic kidney disease, evaluation of cystic disease, urinary obstruction, pain, hematuria, proteinuria, assessment of volume status, and in providing guidance for kidney biopsy.

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