Acquired Cystic Disease of the Kidney and Renal Cell Carcinoma

Complication of Long-Term Dialysis

By: Isao Ishikawa

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Hardcover | 26 April 2007

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Hardcover
124 Pages

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25.4 x 17.78 x 0.79

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I have been involved in the treatment of chronic renal insuf? ciency for 40 years, beginning with peritoneal dialysis immediately after graduation from medical school in 1965, then with hemodialysis in 1967 after I ? rst experienced it in Kanazawa, and with renal transplantation since 1972, when I was studying in the United States. During this period, the number of dialysis patients has continued to increase rapidly to the present ? gure of 257 765 (at the end of 2005), and with surprising increases in the survival rate. However, new and unexpected pathological conditions have also appeared as complications of long-term dialysis. One of these involves polycystic changes and their malignant transformation in diseased kidneys. Since I have studied these polycystic changes and their malignant transformation for many years, I decided to compile the results of my work in a book. Such conditions of diseased kidneys pose serious problems, particularly in Japan, where renal transplantation is performed very infrequently compared with other countries, and a large number of patients are managed by dialysis over a long period.

Industry Reviews

From the reviews: "This is a very personalized review of acquired cystic disease of the kidney and its major complication, renal cell carcinoma. ! This is a worthwhile undertaking that fulfills its stated purpose. This book is written for nephrology practitioners at all levels ! who must make decisions about who and how to screen for acquired cystic kidney disease and how to interpret the results. The author is the recognized world's authority on this topic." (Mark D. Faber, Doody's Review Service, January, 2008) "This book is a well-presented and data-rich compendium on the problem of acquired cysts and kidney cancers that occur in failed end-stage kidneys. Its Japanese author, Dr Isao Ishikawa, is the world's authority on this subject. This book shows his comprehensive approach and multifaceted experience. ! This book can be recommended to all nephrologists. Its price is reasonable, and its size makes it a quick and informative read." (Eric Cohen, Nephrology Dialysis Transplantation, Vol. 23, 2008)

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Preface	p. V
Summary of Acquired Cystic Disease of the Kidney and Renal Cell Carcinoma	p. IX
Beginning the Research	p. 1
Acquired Cystic Disease of the Kidney	p. 5
Definition of Acquired Cystic Disease of the Kidney	p. 5
Prevalence	p. 5
Primary Disease	p. 6
Histology of Acquired Cystic Disease of the Kidney	p. 6
Origin of Cysts	p. 7
Complications of Acquired Cystic Disease of the Kidney	p. 9
Renal Cell Carcinoma	p. 9
Retroperitoneal Bleeding	p. 9
Renal Abscess	p. 10
Protein Stones	p. 10
Increase in Hematocrit	p. 10
Characteristics of Acquired Cystic Disease of the Kidney	p. 10
Prevalence Increases with Duration of Dialysis	p. 10
Sex Differences	p. 11
Dialysis Modality	p. 12
Dialyzer Membrane	p. 12
Relationship with Erythropoietin	p. 14
Effects of Renal Transplantation	p. 15
Diagnosis of Acquired Cystic Disease of the Kidney	p. 19
Causes of Acquired Cystic Disease of the Kidney	p. 20
Twenty-year Follow-up of Acquired Cystic Disease of the Kidney	p. 21
Renal Cell Carcinomas in Dialysis Patients	p. 25
The Two Types of Renal Cell Carcinoma in Dialysis Patients	p. 25
Histology	p. 25
Prevalence	p. 29
Results of Surveys Concerning Renal Cell Carcinoma in Dialysis Patients	p. 32
Results in 1982-2004	p. 32
Number of Registered Patients	p. 32
Sex Differences	p. 32
Age	p. 33
Duration of Dialysis	p. 35
Aids to Diagnosis	p. 36
Symptoms	p. 37
Metastasis	p. 37
Outcome	p. 37
Detection Rates in Different Prefectures	p. 38
Size of Renal Cell Carcinoma and Diagnostic Methods	p. 39
Differences Between Japan and the United States	p. 39
Characteristics	p. 40
Diagnosis	p. 41
Ultrasonography	p. 41
CT Scan	p. 41
MRI	p. 46
Difficulties in the Diagnosis of Renal Cell Carcinoma in Dialysis Patients	p. 49
Screening	p. 49
Treatment	p. 51
Prognosis	p. 52
Etiology	p. 53
History of Research into the Etiology	p. 53
Examination of Tumor Tissues for Trisomies	p. 54
Hypotheses of the Pathogenic Mechanisms of Renal Cysts and Renal Cell Carcinoma	p. 57
Atlas of Renal Cell Carcinoma in Our Dialysis Patients	p. 59
Postscript and Acknowledgments	p. 97
References	p. 101
Index	p. 109
Table of Contents provided by Ingram. All Rights Reserved.

Acquired Cystic Disease of the Kidney and Renal Cell Carcinoma

Complication of Long-Term Dialysis

At a Glance

Hardcover

Industry Reviews

Shipping

How to return your order

Defective items

You Can Find This Book In

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