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Cystics renal tumours and complex renal cysts: diagnostic and treatment

https://doi.org/10.17650/1726-9776-2005-1-2-15-20

Abstract

Differential diagnosis of atypical renal cysts and renal cell carcinoma remains difficult. We analyzed the accuracy of currents methods of visual diagnosis (US, CT, MRT and cyst puncture) in this patients. Surgical exploration was performed in 15 patients. The pathological specimens were compared retrospectively with results of different methods of diagnostics. The classification of Bosniak was used. From all 15 lesions 47,7% proved to be malignant. Our results suggest that radiolodical techniques are not well suites for differentiation of cystics masses Bosniak II and III. Accuracy and specifity of cyst puncture was 71,4% and 77,8%. Mean type of treatment is nephron-sparing surgery. The features of progression of tumor at follow-up 42 months are not fixed.

About the Authors

A. S. Pereverzev
A.S. ,
Ukraine


Y. A. Iluchin
Белгородская областная клиническая больница
Russian Federation


D. V. Shukin
Харьковская медицинская академия последипломного образования
Ukraine


V. V. Megera
Харьковская медицинская академия последипломного образования
Ukraine


A. V. Shus
Харьковская медицинская академия последипломного образования
Ukraine


References

1. Переверзев А.С., Щукин Д.В., Илюхин Ю.А. Отдаленные результаты консервативного хирургического лечения почечно-клеточного рака (ПКР) // Урология. — 2001. — № 3. — С. 15—20.

2. Arounson S., Fraizer H.A., Baluch J.D. et al. Cystic renal masses: usefulness of the Bosniak classification //Urol. Padiol. — 1991. — Vol.13. — P. 83—90.

3. Bellman G.C., Yamaguchi K., Kaswick J. Laparoscopic evaluation of indeterminate renal cysts //Urology. — 1995. — Vol.15. — P.1066.

4. Bosniak M.A. The current radiological approach to renal cysts // Radiology. — 1986. — Vol.158. — P. 1—10.

5. Cloix P., Martin X., Pangaud C. Surgical management of complex renal cysts: a series of 32 cases //J.Urol. — 1996. — Vol.156. — P.28—30.

6. Hartman D.S., Davis C.J.Jr., Johns T., Goldman S.M. Cystic renal cell carcinoma.//Urol. — 1986. — Vol.28. — P. 145—153.

7. Hayakawa M., Hatano T., Tsuji A. et al. Patients with renal cysts associated clinical implications of cyst puncture: a study of 223 cases. //Urology. — 1996. — Vol.47. — P. 643—646.

8. Koga S., Nishikido M., Inuzuka S. et al. An evaluation of Bosniak’s radiological classification of cystic renal masses //B.J.U. Int. — 2000. — Vol.86. — P. 607—609.

9. Kramer L.A. Magnetic resonance imaging of renal masses // J.Urol. — 1998. — Vol.16. — P. 22—28.

10. Marotti M., Hricack H., Flitzche P. et al. Complex and simple renal cysts: comparative evaluation with MR imaging //Radiology. — 1987. — Vol.162. — P. 679.

11. Meng M.V., Grossfeld G.D., Stoller M.L. Renal carcinoma after laparoscopic cyst decortications //J.Urol. — 2002. — Vol. 167. — P. 1396.

12. Muad T., Komaiko W., Oyasu R., Bauer K. Multilocular cystic renal cell carcinoma //Am.J.Clin. Pathol. — 1991. — Vol.95. — P. 633—637.

13. Parienty R.A., Pradel J., Parienty I. Cystic renal cancer. CT characteristics //Radiology. — 1985. — Vol.157. — P. 741—744.

14. Pfister C., Haroun M., Brisset J.M. Kystes atypiques renaux // Prog.Urol. — 1993. — Vol. 3 — P. 453.

15. Rankin S.C., Webb J.A.B., Reznek R.H. Spiral computed tomography in the diagnosis of renal masses // B.J.U. Int. — 2000. — Vol. 26. — Supl.1. — P. 48—57.

16. Siegel C.L., McFarland E.G., Brink J.A. et al. CT of cystic renal masses. Analysis of diagnostic performance and interobserver variation //Am.J.Roentgenol. — 1997. — Vol. 169. — P. 813—818.

17. Terada N., Ichioka K., Matsuta Y. et al. The natural history of simple renal cysts //J.Urol. — 2002. — Vol. 167. — P. 21—23.

18. Wilson T.E., Doelle E.A., Cohan K.H. et al. Cystic renal masses: a reevaluation of the usefulness of the Bosniak classification system // Acad. Rad. — 1996. — Vol.3. — P. 564.

19. Wolf Jr.J.S. Evaluation and management of solid and cystic renal masses //J. Urol. — 1998. — Vol.159. — P. 1120—1133.


Review

For citations:


Pereverzev A.S., Iluchin Y.A., Shukin D.V., Megera V.V., Shus A.V. Cystics renal tumours and complex renal cysts: diagnostic and treatment. Cancer Urology. 2005;1(2):15-20. (In Russ.) https://doi.org/10.17650/1726-9776-2005-1-2-15-20

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ISSN 1726-9776 (Print)
ISSN 1996-1812 (Online)
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