Kidney cystadenoma - Causes, Symptoms and Treatment .MF .
kidney Kistadenoma - a kidney cyst that develops against the backdrop of a malignant neoplasm of the body.
cause kidney kistadenomy
believed that kistadenomy Development Mechanism associated with impaired renal blood flow due to the pressure of a malignant tumor on the organ parenchyma.The result is a compression of the vessel at the site where the blood supply develops small foci of necrosis.Later the necrotic center is filled with exudative fluid and cyst is formed in its place.This theory is fundamental in the development of kidney kistadenomy, although there are many others.For example, we can not exclude the fact that a kidney cyst develops on the background of cancer, and not vice versa.Many scientists in the field of urology it is inclined to the fact that the tumor is still only a secondary pathology in the pathogenesis of kidney kistadenomy.
Symptoms kistadenomy kidney
In the initial stages of the development of kidney kistadenoma asymptomatic, that is the rea
Along with pain, and the patient has systemic symptoms.At first, they appear general weakness, fatigue, headaches, which also imett progressive course.Patients with end-stage kidney kistadenomy of thin, pale.Often at this stage unable to palpate a rounded education in the lumbar region, which is usually painless.
kistadenomy distinctive feature of the cyst or tumor is that it can reach enormous sizes.It is often associated with the symptoms of the gastrointestinal tract, which can occur at a pressure of large tumors in the loop of thin or large intestine.
If there is a patient at least minimal signs of the above symptoms should immediately contact a urologist, because, as already mentioned, the size of the tumor at kistadenome not always comparable with the clinical picture of the disease.
Diagnosing kidney kistadenomy
Urinalysis for kidney kistadenome can, and does, to be normal, although in most cases the increase in red blood cells, leukocytes, hyaline casts and renal epithelial cells.In this case, the color of the urine is turbid, or with a red tint.
Skrinningovym method in the diagnosis of disease can be regarded as ultrasound.The display apparatus ultrasound kidney kistadenoma has the form round or oval formation filled with the substance for echogenicity identical with the liquid.In addition, ultrasound also provides information about which of the poles is located and what it kistadenoma has dimensions.This is important not only for diagnosis, but also for the treatment, because it determines the size of the tumor tactics future surgical approach.
can conduct CT scan of retroperitoneal space with the necessary equipment.Unlike conventional ultrasound, CT gives an idea not only about the size and location of tumors, but also on the approximate content of the tumor.As practice shows, the accuracy of the diagnosis by the results of computed tomography is about 95 percent.
Computed tomography: kistadenoma kidney
stoprotsentovogo To get results you need to use invasive methods of investigation.The most popular of these is the needle biopsy.It involves taking pieces of content or kistadenomy tissue using its capsule puncture with a fine needle.To do this, in the lumbar region is performed local anesthesia and under the control of ultrasound introduced a special puncture needle.In postponing the syringe plunger into the tube appears kistadenomy content.The specific of this disease is a transudate containing blood.
If conservative management is necessary to determine the extent of the pathology of kidney function.For this, as a rule, the excretory urography.After intravenous administration of contrast produced X-ray picture of the kidneys.As a rule, there is a normal evacuation of contrast, except in those rare cases when kistadenoma reaches very large sizes and compresses pyelocaliceal kidney system.
Treatment of kidney kistadenomy
the method of choice in renal kistadenome considered surgery, the amount of which depends on the size and extent of the tumor.For small tumors can be performed remotely from a single kidney poles while maintaining the rest of the parenchyma.This operation is recommended only in those cases where no data on regional and distant metastases.
In all other situations, performed nephrectomy - surgery to remove the entire organ.In the presence of the regional metastases excision surgery supplemented fat pelvis.
If surgery is contraindicated in patients who, because of the serious diseases of internal organs, then the treatment can be used kistadenomy and conservative methods.In today's urological clinic is chemotherapy and radiation therapy.
As for chemotherapy, in its capacity as a rule, used strong cytotoxic drugs such as methotrexate and cisplatin.They are not sold in regular pharmacy and ordered medical institutions for each individual patient.
Radiation therapy, which in most cases is to use X-ray or ionizing radiation, is used only in specialized medical institutions.Given the large number of side effects, its use justifiable only in the later stages of the disease when it is impossible to carry out an operation, and other treatments are ineffective.
rehabilitation after illness
patients after a serious operation for kidney removal, need long-term rehabilitation period.It must include physiotherapy treatments.The effect of such procedures, such as magnetic and darsonval lies not only in stimulating repair processes to better wound healing, but in general the stimulation of hemopoiesis and immunity.
very important postoperative antibiotic prophylaxis, as in patients with impaired immunity kistadenomoy and they are highly susceptible to secondary infection.To this end, means may be used such as ceftriaxone, and ampicillin, because they have very strong bactericidal effect against urinary flora.
Feeding habits and lifestyle
All patients with this pathology recommended dietary table on the seventh Pevzner, which excludes the use of products that can stimulate urination.These dishes include pickles, smoked, grilled meat and fish, strong coffee and tea, as well as any alcoholic beverages.Moreover, in the summer and autumn fruits do not abuse and in particular, watermelons, because they do not have a less pronounced diuretic effect than other named products.
If the patient does not satisfy the complete removal of the kidney, but only one pole resection, then they are in the postoperative period are obliged to walk with nephrostomy - tube mounted to the lumbar region of urinary diversion, which is excreted in kidney injury.It delivers some discomfort for patients, so they need to be taught how to take care of it.For the normal functioning of the stoma and prevent secondary infection, should be changed daily aseptic bandage and change the bag regularly.
Treatment folk remedies
Traditional medicine invented a lot of ways how to treat neoplastic tumors.However, none of them is not effective enough to give up in his favor from the traditional methods of treatment, which is also far from perfect.But if you take, for example, surgical removal of the kidney kistadenomy, the five-year survival rate when it is much higher than for any other treatment, including folk.Thus, if the patient is diagnosed with kidney kistadenomy, then it is better to abandon any traditional methods of treatment, and immediately seek help from a urologist and make the operation.
kidney complication kistadenomy
One of the serious complications of kidney kistadenomy must be considered her break.It can happen with a strong physical exertion or injury to the lumbar region.Patients complain of sharp pain in the lumbar region radiating to the external genitalia and the abdominal cavity.The complication requires immediate surgical intervention, without which the patient may develop inflammation of the retroperitoneal space and septic shock.
Among other complications of kidney kistadenomy can distinguish hematuria, which develops at the opening of the cyst is not in the retroperitoneal space, and in the cavity of the renal pelvis renal system.Thus, against pain in the lumbar region in the selection of patients have large amounts of blood in urine.The very act of urination may be painless, although in most cases, patients report discomfort due to the isolation of a urethra of blood clots.
Preventing kidney kistadenomy
Unified System Kidney kistadenomy prevention is not due to lack of clarity the exact etiology of this disease.It is assumed that it may lead to the use of various chemicals, ionizing radiation, trauma, retroperitoneal space and stressful situations.Also awarded an indirect link in the development of kidney kistadenomy in the background or after an inflammatory disease of the body.Therefore, experts in the field of urology argue that after the elimination of all these factors, the risk of kistadenomy reduced several times.
Ed.urologist, sexologist-andrologist Plotnikov AN