Почечно-клеточный рак у пациентов, находящихся на диализе


https://doi.org/10.18027/2224-5057-2011-1-29-39

Полный текст:


Аннотация

Заболеваемость почечно-клеточным раком (ПКР) у пациентов, находящихся на диализе, выше, чем в общей популяции. Чем дольше больной получает гемодиализ, тем выше заболеваемость ПКР. Риск развития ПКР связан с формированием поликистоза почек. Некоторые виды ПКР у пациентов, находящихся на гемодиализе, или пациентов с заболеваниями почек поздних стадий не соответствуют гистологической классификации ПКР, представленной Всемирной Организацией Здравоохранения. Такие опухоли отличаются от спорадических; их называют ПКР, ассоциированным с приобретенным поликистозом почек (ППКП), или светлоклеточным-папиллярным ПКР у пациентов с заболеваниями почек поздних стадий. Рак почки на фоне ППКП развивается у пациентов, которые получают диализ длительно (более 10 лет). В связи с высокой заболеваемостью и отсутствием симптомов, пациентов находящихся на диализе из группы высокого риска, необходимо обследовать на предмет ПКР. Такой скрининг особенно важен для пациентов на диализе продолжительностью более 10 лет, пациентам с тяжелым ППКП и кандидатам на трансплантацию почки. Опухоль в почке, прилежащая к множественным приобретенным кистам, как правило, мало или совсем не накапливает контрастное вещество при КТ, а также не выступает за контур почки. Таким образом, дооперационная оценка ПКР у пациентов на длительном диализе затруднительна. 


Об авторе

ISAO ISHIKAWA
Isao Ishikawa, Division of Nephrol- ogy, Department of Internal Medicine, Asanogawa General Hospital, 83 KosakaNaka, Kanazawa, 920-8621, Ishikawa, Japan. Tel. +81 76-252-2101
Япония


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Дополнительные файлы

Для цитирования: ISHIKAWA I. Почечно-клеточный рак у пациентов, находящихся на диализе. Злокачественные опухоли. 2011;1(1):29-39. https://doi.org/10.18027/2224-5057-2011-1-29-39

For citation: . . Malignant tumours. 2011;1(1):29-39. (In Russ.) https://doi.org/10.18027/2224-5057-2011-1-29-39

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