Prenatal diagnosis of multicystic dysplastic kidney disease in the second trimester screening

被引:26
作者
Al Naimi, Ammar [1 ]
Baumueller, Jan-Eric [1 ]
Spahn, Stephan [1 ]
Bahlmann, Franz [1 ]
机构
[1] Burger Hosp, Dept Obstet & Gynecol, Frankfurt, Germany
关键词
RENAL DYSPLASIA; ANOMALIES; CHILDREN; ULTRASOUND; MALFORMATIONS; FEATURES; AGENESIS; GROWTH; SIZE; RISK;
D O I
10.1002/pd.4112
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Objective Multicystic dysplastic kidney (MCDK) is the most common antenatally diagnosed cystic renal pathology. It refers to the presence of multiple kidney cysts surrounded by dysplastic parenchymal tissue. Method We retrospectively review 54 cases (21 bilateral and 33 unilateral) with antenatally diagnosed MCDK between the years 1998 and 2012. We compare our data with the published literature and discuss different parameters. Results Our findings show a male predominance of 1.8:1 and a left side/right side ratio of 0.73:1. Most of the cases were isolated findings, but 20.3% were associated with anomalies. One case was a Goldenhar syndrome. Of the bilateral MCDK cases, 14.3% had chromosomal defects. Conclusion Isolated unilateral MCDK has good prognosis. Bad prognosis is linked to association with other anomalies as well as to bilateral MCDK. (c) 2013 John Wiley & Sons, Ltd.
引用
收藏
页码:726 / 731
页数:6
相关论文
共 40 条
[1]   Serial followup of the contralateral renal size in children with multicystic dysplastic kidney [J].
Abidari, JM ;
Park, KH ;
Kennedy, WA ;
Shortliffe, AD .
JOURNAL OF UROLOGY, 2002, 168 (04) :1821-1825
[2]   Multicystic dysplastic kidney: Conservative management and follow-up [J].
Al-Ghwery, S ;
Al-Asmari, A .
RENAL FAILURE, 2005, 27 (02) :189-192
[3]   CONTRALATERAL RENAL ABNORMALITIES IN MULTICYSTIC-DYSPLASTIC KIDNEY-DISEASE [J].
ATIYEH, B ;
HUSMANN, D ;
BAUM, M .
JOURNAL OF PEDIATRICS, 1992, 121 (01) :65-67
[4]   Prenatal diagnosis of apparently isolated unilateral multicystic kidney: implications for counselling and management [J].
Aubertin, G ;
Cripps, S ;
Coleman, G ;
McGillivray, B ;
Yong, SL ;
Van Allen, M ;
Shaw, D ;
Arbour, L .
PRENATAL DIAGNOSIS, 2002, 22 (05) :388-394
[5]  
Bernstein J, 1989, RENAL PATHOLOGY CLIN, P1278
[6]   Charts of fetal size: kidney and renal pelvis measurements [J].
Chitty, LS ;
Altman, DG .
PRENATAL DIAGNOSIS, 2003, 23 (11) :891-897
[7]  
CROCKER JFS, 1971, PEDIATR CLIN N AM, V18, P355
[8]   ANTENATAL DIAGNOSIS OF RENAL ANOMALIES WITH ULTRASOUND .4. BILATERAL MULTICYSTIC KIDNEY-DISEASE [J].
DALTON, M ;
ROMERO, R ;
GRANNUM, P ;
DEPALMA, L ;
JEANTY, P ;
HOBBINS, JC .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1986, 154 (03) :532-537
[9]   Concomitant anomalies in 100 children with unilateral multicystic kidney [J].
Damen-Elias, HAM ;
Stoutenbeek, PH ;
Visser, GHA ;
Nikkels, PGJ ;
De Jong, TPVM .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2005, 25 (04) :384-388
[10]   Antenatal diagnostic aspects of unilateral multicystic kidney dysplasia-sensitivity, specificity, predictive values, differential diagnoses, associated malformations and consequences [J].
Eckoldt, F ;
Woderich, R ;
Smith, RD ;
Heling, KS .
FETAL DIAGNOSIS AND THERAPY, 2004, 19 (02) :163-169