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• W1980717079 abstract "Involvement of the kidney at some stage of childhood leukemia is a frequent if not invariable occurrence, varying from microscopic infiltration to gross enlargement with subsequent aberration of function (5). Clinically the involvement may not be recognized until enlargement and palpable nodularity take place in the kidney. Merrill and Jackson (7) reported 10 cases of impaired renal function prior to death in an autopsy series of 18 leukemic patients. All of these were adults. Gilbert, Rice, and Lechaux (3) studied renal function in 35 children with leukemia and found no laboratory evidence of impairment. Pierce (9), on the other hand, made note of signs of impending uremia caused by leukemic infiltrates and found that enlargement of the kidneys from this condition was an ominous sign, rendering control by antileukemic drugs more difficult of achievement. Gowdey and Neuhauser (4) were the first to report (1948) a roentgenographic appearance of the kidneys which seemed to be characteristic for leukemia. They were careful to note, however, that the pattern produced by the leukemic infiltration was “apt to be confused with the picture produced by polycystic kidneys.” Other authors also have noted the possibility of misinterpreting leukemic enlargement as polycystic disease (1, 2, 10). As recently as 1958 Lusted, Besse, and Fritz (6) concluded from a study of autopsy material which included 6 children “that it is not possible to definitely identify leukemic cell infiltration in the kidneys from the intravenous urogram.” In order to determine the extent and nature of simultaneous clinical and pyelographic renal distortion, the case records of Babies and Childrens Hospital (Cleveland, Ohio) have been examined for the years 1952 to 1959, inclusive. A diagnosis of leukemia was made in 130 patients during this eight-year period. Intravenous urography was not undertaken systematically, but only upon suspicion of urinary involvement from physical or laboratory examinations and was therefore done in only 16 patients. Because of the small sample, no conclusion can be reached as to the incidence of urographically demonstrable involvement of the kidney in children with leukemia. Since this study was instituted, all but 1 of the patients have died. Autopsies were obtained on 7 of the 16 who were examined by intravenous urography. All 7 children had leukemic infiltration of the kidneys. In almost every instance a long interval had passed between urography and autopsy, precluding correlation of anatomic data. In a few, however, serial urograms afforded opportunity to observe progression and regression: 2 children had 2 intravenous studies each, and 1 had 3. Kidney size was estimated on the roentgenograms by Moell's (8) formula for the area of an ellipse, A = π × 1/2 length × 1/2 width." @default.
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• W1980717079 date "1962-03-01" @default.
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• W1980717079 title "The Kidney in Childhood Leukemia" @default.
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• W1980717079 doi "https://doi.org/10.1148/78.3.407" @default.
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