Radiographic surveillance of minimally and moderately complex renal cysts
dc.contributor.author | Gabr, Ahmed H. | en_US |
dc.contributor.author | Gdor, Yehoshua | en_US |
dc.contributor.author | Roberts, William W. | en_US |
dc.contributor.author | Wolf Jr, J. Stuart | en_US |
dc.date.accessioned | 2010-06-01T19:11:21Z | |
dc.date.available | 2010-06-01T19:11:21Z | |
dc.date.issued | 2009-04 | en_US |
dc.identifier.citation | Gabr, Ahmed H.; Gdor, Yehoshua; Roberts, William W.; Wolf Jr, J. Stuart (2009). "Radiographic surveillance of minimally and moderately complex renal cysts." BJU International 103(8): 1116-1119. <http://hdl.handle.net/2027.42/72374> | en_US |
dc.identifier.issn | 1464-4096 | en_US |
dc.identifier.issn | 1464-410X | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/72374 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19076144&dopt=citation | en_US |
dc.description.abstract | To assess the effectiveness of radiographic surveillance for managing minimally and moderately complex renal cysts. PATIENTS AND METHODS Forty-three patients with 50 minimally or moderately complex renal cysts underwent radiographic surveillance at our institution. Study inclusion criteria were surveillance for >2 years (36 patients, mean follow-up 3.0 years) or surveillance for >6 months with subsequent surgical excision (seven patients, mean follow-up 3.3 years). RESULTS The complexity of the renal cysts was in the form of high attenuation before contrast-enhanced imaging (‘hyperdense’) in 29 patients, thin septations in nine, borderline enhancement in six, thin calcifications in five, and a thick wall in one. The mean initial largest dimension was 2.9 cm and the mean final dimension was 3.0 cm, with the size increased in 29 cysts, decreased in 14 and with no change in seven. The cyst character worsened in seven patients, improved in four and did not change in 39. Eventually seven patients had surgery (laparoscopic partial nephrectomy in five and laparoscopic radical nephrectomy in two), which revealed renal cancer in five. Surgical intervention was prompted by growth alone in two patients, growth and worsening of cyst characteristics in two, new onset of flank pain in one, and appearance of an enhancing nodule in the wall or septa in two. CONCLUSION Radiographic surveillance is an effective method for managing patients with minimally or moderately complex renal cysts. Malignant lesions can be identified and removed while still of low grade and contained, and surgery can be avoided in most patients. | en_US |
dc.format.extent | 204299 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.rights | © 2009 BJU International | en_US |
dc.subject.other | Kidney Diseases | en_US |
dc.subject.other | Cystic | en_US |
dc.subject.other | Carcinoma | en_US |
dc.subject.other | Renal Cell | en_US |
dc.subject.other | Tomography | en_US |
dc.subject.other | X-ray | en_US |
dc.subject.other | MRI | en_US |
dc.title | Radiographic surveillance of minimally and moderately complex renal cysts | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.identifier.pmid | 19076144 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/72374/1/j.1464-410X.2008.08171.x.pdf | |
dc.identifier.doi | 10.1111/j.1464-410X.2008.08171.x | en_US |
dc.identifier.source | BJU International | en_US |
dc.identifier.citedreference | Bosniak MA. The current radiological approach to renal cysts. Radiology 1986; 158: 1 – 10 | en_US |
dc.identifier.citedreference | Israel CM, Bosniak MA. Follow-up of moderately complex cystic lesions of the kidney (Bosniak category IIF). J Urol 2003; 181: 627 – 33 | en_US |
dc.identifier.citedreference | Curry NS, Cochran ST, Bissada NK. Cystic renal masses: accurate Bosniak classification requires adequate renal CT. AJR Am J Roentgenol 2000; 175: 339 – 42 | en_US |
dc.identifier.citedreference | Bosniak MA. Difficulties in classifying cystic lesion of the kidney. Urol Radiol 1991; 13: 91 – 3 | en_US |
dc.identifier.citedreference | Bosniak MA. Problems in the radiologic diagnosis of renal parenchymal tumors. Urol Clin North Am 1993; 20: 217 – 30 | en_US |
dc.identifier.citedreference | Bosniak MA. Diagnosis and management of patients with complicated cystic lesions of the kidney. AJR Am J Roentgenol 1997; 169: 819 – 21 | en_US |
dc.identifier.citedreference | Bosniak MA. The use of the Bosniak classification system for renal cysts and cystic tumors. J Urol 1997; 157: 1852 – 3 | en_US |
dc.identifier.citedreference | Aronson S, Frazier HA, Baluch JD, Hartman DS, Christenson PJ. Cystic renal masses: usefulness of the Bosniak classification. Urol Radiol 1991; 13: 83 – 90 | en_US |
dc.identifier.citedreference | Brown WC, Amis ES Jr, Kaplan SA, Blaivas JG, Axelrod SL. Renal cystic lesions: predictive value of preoperative computerized tomography. J Urol 1989; 141: 426A | en_US |
dc.identifier.citedreference | Wilson TE, Doelle EA, Cohan RH, Wojno K, Korobkin M. Cystic renal masses: a reevaluation of the usefulness of the Bosniak classification system. Acad Radiol 1996; 3: 564 – 70 | en_US |
dc.identifier.citedreference | Cloix P, Martin X, Pangaud C et al. Surgical management of complex renal cysts: a series of 32 cases. J Urol 1996; 156: 28 – 30 | en_US |
dc.identifier.citedreference | Siegel CL, McFarland EG, Brink JA, Fisher AJ, Humphrey P, Heiken JP. CT of cystic renal masses: analysis of diagnostic performance and interobserver variation. AJR Am J Roentgenol 1997; 169: 813 – 8 | en_US |
dc.identifier.citedreference | Siu W, Hafez KS, Johnston WK III, Wolf JS Jr. Growth rates of renal cell carcinoma and oncocytoma under surveillance are similar. Urologic Oncol 2007; 25: 115 – 9 | en_US |
dc.identifier.citedreference | Bellman GC, Yamaguchi R, Kaswick J. Laparoscopic evaluation of indeterminate renal cysts. Urology 1995; 45: 1066 – 70 | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.