Areas | Comments |
---|---|
 | The representative areas in (A)~(C) can be described as follows (the details were reviewed previously [1]). |
(A) Acute kidney injury in cancer patients | The causes of AKI in cancer patients can be categorized as prerenal, intrinsic, and postrenal. |
• Prerenal (extracellular fluid depletion, hypercalcemia, hepatic sinusoidal occlusive syndrome, drugs) | |
• Intrinsic (acute tubular necrosis, lymphomatous infiltration of the kidney, cast nephropathy, tumor lysis syndrome, thrombotic microangiopathy, secondary glomerulopathies) | |
• Postrenal (extrarenal obstruction due to primary disease, retroperitoneal lymphadenopathy, retroperitoneal fibrosis) | |
(B) Paraneoplastic glomerulopathies | • Solid malignancy-associated membranous nephropathy |
• Hematologic malignancy-associated minimal change disease | |
(C) Chemotherapy-associated kidney manifestations | • Minimal change disease and focal segmental glomerulosclerosis (interferon, pamidronate) |
• Acute tubular necrosis and electrolyte wasting (cisplatin) | |
• Magnesium wasting (cetuximab) | |
• Thrombotic microangiopathy (bevacizumab, tyrosine kinase inhibitors, and gemcitabine) | |
• Cast nephropathy (methotrexate) | |
(D) Cancer risk and screening in patients with ESRD | Although the etiologies of cancer-associated renal diseases in (A)~(C) are relatively well understood, the protocols of the cancer screening and effective anti-cancer treatment for ESRD patients are not established yet. |
(E) Anti-cancer chemotherapy in patients with ESRD |