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Imaging in cystic renal disease
R de Bruyn, I GordonDepartment of
Radiology, Great Ormond Street Hospital for Children NHS Trust, Great
Ormond Street, London WC1N 3JH, UK
Correspondence to: Dr Gordon i.gordon@ucl.ac.uk
Accepted 14 July
2000
| The first 150 words of the full text of this article appear below. |
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Introduction |
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The term "cystic kidneys" is used to describe a heterogeneous group of conditions characterised either by single/multiple cysts or abnormal kidneys with no obvious cysts as the kidney may appear hyperechoic (solid). Confusion has arisen because the terminology is imprecise at times and multiple cysts do not necessarily denote a heritable condition or specific syndrome. The disorders span all ages in childhood and since the introduction of routine antenatal ultrasound many are identified antenatally.
The ultimate diagnosis of many of the "cystic kidneys" requires
clinical, genetic, radiological, and pathological information. Errors
arise when insufficient information is gathered and collated. A precise
diagnosis is important for prognosis, treatment, and genetic
counselling although this may not be possible at
presentation.1-3 As the aetiology, histology, and
clinical presentation are diverse, no single classification of
"cystic renal disease" is satisfactory; the most widely acceptable
classification is genetic and non-genetic (see table 1). A
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