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renal neoplasias in haemodialysis

Angel Gallegos-Villalobos, Fernando García-López, Carmen Escalada, Juan J Ortiz, Jorge Cardona, Amparo Medina, José Portolés
Thyroid carcinoma is a neoplasia with a higher incidence in patients with chronic kidney disease. In recent years advances have been made in diagnostic and therapeutic trials. Dialysis patients are a particular group, their cancer being detected indirectly in the study of secondary hyperparathyroidism and during the study prior to renal transplantation. Thyroidectomy is the definitive treatment, but in patients with risk of recurrence, ablative therapy is required using radioactive iodine I-131, which is predominantly eliminated by renal excretion, therefore its use in patients on dialysis poses a problem in terms of dosage...
May 21, 2014: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
M Sol Otero-López, Juan C Martínez-Ocaña, Loreley Betancourt-Castellanos, Eleonora Rodríguez-Salazar, Manuel García-García
INTRODUCTION: Few studies address the individual prognosis of an elderly patient beginning chronic haemodialysis (HD), despite the fact that doctors must frequently weigh the possible benefits and disadvantages of prescribing this treatment. OBJECTIVES: Evaluate the usefulness of the REIN Registry’s prognosis score and the predictive index for early mortality proposed by the Catalan Registry of Renal Patients (RMRC, Registre de Malalts Renals de Catalunya) in elderly patients beginning HD by comparing indices with observed survival rates...
2012: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Joan Fort, Xavier Cuevas, Fernando García, Rafael Pérez-García, Fina Lladós, Javier Lozano, Alejandro Martín-Malo et al.
BACKGROUND: Although the association between low haemoglobin levels and mortality is well established in haemodialysis patients, data are conflicting regarding levels >12 g/dl. In addition, divergent results have been reported on the relation between erythropoiesis-stimulating agents (ESAs) and mortality. METHODS: This was a multicentre, observational, prospective, 24-month study, which recruited Spanish incident haemodialysis patients (N = 2310). Univariate and multivariate time-dependent Cox regression models examined the longitudinal association of mortality with haemoglobin and ESA dose; adjustment was made for iron deficiency and other confounders...
August 2010: Nephrology, Dialysis, Transplantation
M Liszka, E Zukowska-Szczechowska, W Grzeszczak, D Moczulski, Z Religa
UNLABELLED: The patients with chronic renal failure present an immunodeficiency state manifested by prolonged tolerance to allografts, increased incidence of infections and abnormally high incidence of neoplasia. The present study aimed to assess the effect of chronic uraemia and haemodialysis treatment on the natural killer cells (NK cells) count. Peripheral blood NK cells (CD3-, CD16+), total lymphocytes, leukocytes, monocytes and granulocytes of 24 hemodialyzed patients with chronic renal failure and 32 healthy subjects were studied using flow cytometry...
July 1998: Polskie Archiwum Medycyny Wewnętrznej
H J Goldsmith, R Ahmad, N Raichura, S M Lal, C A McConnell, D A Gould, O H Gyde, J Green
Seventeen of 20 (85%) patients on RDT for six to 13 years were found to have acquired renal cysts. There was a significant positive association between Hb and duration of RDT. The extent of cyst was positively and significantly correlated with the latest Hb and years on dialysis. There was also a significant positive correlation between size and years on dialysis only approached statistical significance. There was no correlation between kidney size and latest Hb. Complications in patients with acquired renal cysts appear to resemble those of familial polycystic disease with the added risk of neoplasia...
1983: Proceedings of the European Dialysis and Transplant Association
J H Henson, S Al-Hilli, J B Penry, J C Mackenzie
No abstract text is available yet for this article.
December 1985: British Journal of Radiology
T Pourchez, P Morinière, A Fournier, J Pietri
During the last 4 years, the Permcath Quinton double-lumen silicone catheter was inserted into the internal jugular vein of 57 uraemic patients with difficulty for creating conventional vascular access for haemodialysis. In 4 patients, with definitive contraindication of conventional vascular access, this catheter still permits haemodialysis after a duration of 8-25 months. In 25 further patients with terminal uraemia, but poor vein system, it allowed the maturation of an arteriovenous fistula after 2-14 months of use...
1989: Nephron
M F Schmitt, I Noronha, T Jäger, E Ritz, R Waldherr
Acquired cystic kidney disease (ACKD) is a frequent complication of end-stage renal disease. In about 50% of patients on chronic haemodialysis treatment, secondary cysts are detected by sonography/computed tomography or at autopsy. ACKD is associated with an increased risk for the development of renal neoplasias. Renal adenomas are found in 8.8% of the cases, renal cell carcinomas are observed in 2.9% of the patients. The prevalence of renal cell carcinoma is 5-10 times greater in ACKD than in the general population...
1989: Verhandlungen der Deutschen Gesellschaft Für Pathologie
J F Brennan, M M Stilmant, R K Babayan, M B Siroky
Acquired cystic kidney disease has become increasingly recognised as a significant risk in patients with end-stage renal disease, especially in those maintained on chronic haemodialysis and peritoneal dialysis. A review of the literature indicates that nearly 50% of patients on dialysis for more than 3 years develop renal cystic changes. The major complications of this condition are neoplasia and spontaneous renal haemorrhage. The risk of developing renal carcinoma has been estimated to be more than 30 times higher in dialysis patients with cystic changes than in the general population...
April 1991: British Journal of Urology
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