Multicystic dysplastic kidney in children: US follow-up
| Autor: | Janet L. Strife, C F Strife, J Wacksman, M J Gelfand, Donald R. Kirks, A S Souza |
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| Rok vydání: | 1993 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Multicystic dysplastic kidney Multicystic kidney Kidney Ultrasonography Prenatal Pregnancy Humans Medicine Radiology Nuclear Medicine and imaging business.industry Ultrasound Infant Newborn Infant Renal tissue Kidney Diseases Cystic medicine.disease Surgery medicine.anatomical_structure El Niño Dysplasia Child Preschool Female Ultrasonography business Follow-Up Studies |
| Zdroj: | Radiology. 186:785-788 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | Eighty-one cases of multicystic dysplastic kidney (MCDK) in children were diagnosed over the past 11 years at the authors' institution: 25 children had their kidneys surgically removed, eight with bilateral total involvement died, and 48 underwent serial follow-up ultrasonography (US) of their kidneys. Follow-up included 193 serial ultrasound (US) studies (mean, four per patient) for a total of 1,468 months (mean, 30.5 months). In the 48 patients followed up, 32 (67%) kidneys showed a decrease in size, nine (19%) showed no change, and five (10%) increased in size, and in two (4%), a change in size could not be determined. In seven of the 48 (15%) children, the MCDKs decreased in size, and, at follow-up US, no renal tissue could be found. In those patients in whom MCDKs decreased in size. Serial US characteristics changed from predominantly an enlarged cystic structure to a small dysplastic or absent kidney. Two of the five kidneys that increased in size were surgically removed, and MCDK was pathologically confirmed. A nonsurgical approach to the treatment of patients with MCDK is supported by this study. |
| Databáze: | OpenAIRE |
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