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Ultrasound
Diagnosis
Urinary Tract
Cysts and Cystic Disorders
Cystic Disease of Dialysis
Cystic Disease of Dialysis
Barton F. Lane, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Acquired cystic kidney disease (ACKD)

          • Synonyms

            • Acquired cystic disease of uremia

          • Definitions

            • Presence of 3 or more renal cysts per kidney in patients with chronic kidney disease (CKD) who do not have hereditary cystic disease
            • Occurs predominantly in patients on long-term dialysis (peritoneal or hemodialysis)

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Wood CG 3rd et al: CT and MR Imaging for Evaluation of Cystic Renal Lesions and Diseases. Radiographics. 35(1):125-41, 2015
                                        2. Cokkinos DD et al: Contrast enhanced ultrasound of the kidneys: what is it capable of? Biomed Res Int. 2013:595873, 2013
                                        3. Singanamala S et al: Should screening for acquired cystic disease and renal malignancy be undertaken in dialysis patients? Semin Dial. 24(4):365-6, 2011
                                        4. Katabathina VS et al: Adult renal cystic disease: a genetic, biological, and developmental primer. Radiographics. 30(6):1509-23, 2010
                                        5. Ishikawa I et al: Twenty-year follow-up of acquired renal cystic disease. Clin Nephrol. 59(3):153-9, 2003
                                        6. Neureiter D et al: Dialysis-associated acquired cystic kidney disease imitating autosomal dominant polycystic kidney disease in a patient receiving long-term peritoneal dialysis. Nephrol Dial Transplant. 17(3):500-3, 2002
                                        7. Chatha RK et al: Von Hippel-Lindau disease masquerading as autosomal dominant polycystic kidney disease. Am J Kidney Dis. 37(4):852-8, 2001
                                        8. Nascimento AB et al: Rapid MR imaging detection of renal cysts: age-based standards. Radiology. 221(3):628-32, 2001
                                        9. Slywotzky CM et al: Localized cystic disease of the kidney. AJR Am J Roentgenol. 176(4):843-9, 2001
                                        10. Choyke PL: Acquired cystic kidney disease. Eur Radiol. 10:1716-1721, 2000.
                                        11. Tantravahi J et al: Acquired cystic kidney disease. Semin Dial. 13(5):330-4, 2000
                                        12. Hughson MD et al: Renal cell carcinoma of end-stage renal disease: an analysis of chromosome 3, 7, and 17 abnormalities by microsatellite amplification. Mod Pathol. 12(3):301-9, 1999
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Acquired cystic kidney disease (ACKD)

                                                • Synonyms

                                                  • Acquired cystic disease of uremia

                                                • Definitions

                                                  • Presence of 3 or more renal cysts per kidney in patients with chronic kidney disease (CKD) who do not have hereditary cystic disease
                                                  • Occurs predominantly in patients on long-term dialysis (peritoneal or hemodialysis)

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Wood CG 3rd et al: CT and MR Imaging for Evaluation of Cystic Renal Lesions and Diseases. Radiographics. 35(1):125-41, 2015
                                                                              2. Cokkinos DD et al: Contrast enhanced ultrasound of the kidneys: what is it capable of? Biomed Res Int. 2013:595873, 2013
                                                                              3. Singanamala S et al: Should screening for acquired cystic disease and renal malignancy be undertaken in dialysis patients? Semin Dial. 24(4):365-6, 2011
                                                                              4. Katabathina VS et al: Adult renal cystic disease: a genetic, biological, and developmental primer. Radiographics. 30(6):1509-23, 2010
                                                                              5. Ishikawa I et al: Twenty-year follow-up of acquired renal cystic disease. Clin Nephrol. 59(3):153-9, 2003
                                                                              6. Neureiter D et al: Dialysis-associated acquired cystic kidney disease imitating autosomal dominant polycystic kidney disease in a patient receiving long-term peritoneal dialysis. Nephrol Dial Transplant. 17(3):500-3, 2002
                                                                              7. Chatha RK et al: Von Hippel-Lindau disease masquerading as autosomal dominant polycystic kidney disease. Am J Kidney Dis. 37(4):852-8, 2001
                                                                              8. Nascimento AB et al: Rapid MR imaging detection of renal cysts: age-based standards. Radiology. 221(3):628-32, 2001
                                                                              9. Slywotzky CM et al: Localized cystic disease of the kidney. AJR Am J Roentgenol. 176(4):843-9, 2001
                                                                              10. Choyke PL: Acquired cystic kidney disease. Eur Radiol. 10:1716-1721, 2000.
                                                                              11. Tantravahi J et al: Acquired cystic kidney disease. Semin Dial. 13(5):330-4, 2000
                                                                              12. Hughson MD et al: Renal cell carcinoma of end-stage renal disease: an analysis of chromosome 3, 7, and 17 abnormalities by microsatellite amplification. Mod Pathol. 12(3):301-9, 1999