Is there any indication for monitoring for renal medullary carcinoma in patients with sickle cell trait?
Patients sometimes ask for annual urinalysis and ultrasound to monitor, but it is unclear if this is indicated.
Answer from: at Academic Institution
Hematuria occurs episodically in approximately 5% of people with sickle cell trait. Although often recurrent and sometimes producing anemia, the causes of hematuria are usually benign and it is self-limited. Medullary carcinoma of the kidney is a rare highly aggressive tumor that occurs almost exclu...