Characterization and management of various renal cystic lesions by sonographic features
Renal cysts are common incidental findings in clinical practice. Most renal cysts detected in medical imaging are benign simple cysts. However, some are complicated by hemorrhage or infection or are associated with calcification. In these instances, difficulties can be encountered distinguishing the...
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| Veröffentlicht in: | Journal of the Chinese Medical Association 2018-12, Vol.81 (12), p.1017-1026 |
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| container_title | Journal of the Chinese Medical Association |
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| creator | Tay, Shee-Yen Tiu, Chui-Mei Hu, Bing Wang, Hsin-Kai Chiou, Hong-Jen Lin, Yung-Hui Lai, Yi-Chen Chan, Wing P. Chou, Yi-Hong |
| description | Renal cysts are common incidental findings in clinical practice. Most renal cysts detected in medical imaging are benign simple cysts. However, some are complicated by hemorrhage or infection or are associated with calcification. In these instances, difficulties can be encountered distinguishing the complicated cysts from cystic renal tumors such as cystic renal cell carcinoma, multilocular cystic nephroma, and mixed epithelial and stromal tumors. The Bosniak classification is widely used to categorize cystic renal lesions but is used to classify those discovered via computed tomography. Ultrasonography (US) and color Doppler US are the most frequently used imaging techniques for abdominal surveys and long-term follow-up because of their noninvasiveness, relatively low cost, wide availability, and frequently, lack of contrast medium. Herein, we review the features of various cystic lesions of the kidney that can be found using US, discuss differential diagnoses using US, and propose a feature-oriented algorithmic approach to classifying renal cystic lesions using US. |
| doi_str_mv | 10.1016/j.jcma.2018.04.008 |
| format | Article |
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Most renal cysts detected in medical imaging are benign simple cysts. However, some are complicated by hemorrhage or infection or are associated with calcification. In these instances, difficulties can be encountered distinguishing the complicated cysts from cystic renal tumors such as cystic renal cell carcinoma, multilocular cystic nephroma, and mixed epithelial and stromal tumors. The Bosniak classification is widely used to categorize cystic renal lesions but is used to classify those discovered via computed tomography. Ultrasonography (US) and color Doppler US are the most frequently used imaging techniques for abdominal surveys and long-term follow-up because of their noninvasiveness, relatively low cost, wide availability, and frequently, lack of contrast medium. Herein, we review the features of various cystic lesions of the kidney that can be found using US, discuss differential diagnoses using US, and propose a feature-oriented algorithmic approach to classifying renal cystic lesions using US.</description><identifier>ISSN: 1726-4901</identifier><identifier>EISSN: 1728-7731</identifier><identifier>DOI: 10.1016/j.jcma.2018.04.008</identifier><identifier>PMID: 30017809</identifier><language>eng</language><publisher>Netherlands: Elsevier Taiwan LLC</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bosniak classification ; Child ; Complex renal cyst ; Cystic renal tumor ; Female ; Humans ; Kidney Diseases, Cystic - diagnostic imaging ; Kidney Diseases, Cystic - pathology ; Kidney Diseases, Cystic - therapy ; Male ; Middle Aged ; Renal cystic lesion ; Ultrasonography ; Ultrasonography - methods</subject><ispartof>Journal of the Chinese Medical Association, 2018-12, Vol.81 (12), p.1017-1026</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier Taiwan LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-2663d303f1b9287366f60882b19c8dea1b8a95970cf4f09e2e8aae86841df74e3</citedby><orcidid>0000-0001-8322-6336 ; 0000-0002-7418-4514</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcma.2018.04.008$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30017809$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tay, Shee-Yen</creatorcontrib><creatorcontrib>Tiu, Chui-Mei</creatorcontrib><creatorcontrib>Hu, Bing</creatorcontrib><creatorcontrib>Wang, Hsin-Kai</creatorcontrib><creatorcontrib>Chiou, Hong-Jen</creatorcontrib><creatorcontrib>Lin, Yung-Hui</creatorcontrib><creatorcontrib>Lai, Yi-Chen</creatorcontrib><creatorcontrib>Chan, Wing P.</creatorcontrib><creatorcontrib>Chou, Yi-Hong</creatorcontrib><title>Characterization and management of various renal cystic lesions by sonographic features</title><title>Journal of the Chinese Medical Association</title><addtitle>J Chin Med Assoc</addtitle><description>Renal cysts are common incidental findings in clinical practice. Most renal cysts detected in medical imaging are benign simple cysts. However, some are complicated by hemorrhage or infection or are associated with calcification. In these instances, difficulties can be encountered distinguishing the complicated cysts from cystic renal tumors such as cystic renal cell carcinoma, multilocular cystic nephroma, and mixed epithelial and stromal tumors. The Bosniak classification is widely used to categorize cystic renal lesions but is used to classify those discovered via computed tomography. Ultrasonography (US) and color Doppler US are the most frequently used imaging techniques for abdominal surveys and long-term follow-up because of their noninvasiveness, relatively low cost, wide availability, and frequently, lack of contrast medium. Herein, we review the features of various cystic lesions of the kidney that can be found using US, discuss differential diagnoses using US, and propose a feature-oriented algorithmic approach to classifying renal cystic lesions using US.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bosniak classification</subject><subject>Child</subject><subject>Complex renal cyst</subject><subject>Cystic renal tumor</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Diseases, Cystic - diagnostic imaging</subject><subject>Kidney Diseases, Cystic - pathology</subject><subject>Kidney Diseases, Cystic - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Renal cystic lesion</subject><subject>Ultrasonography</subject><subject>Ultrasonography - methods</subject><issn>1726-4901</issn><issn>1728-7731</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLLDEQRoMovv-Ai0uWbrqtdPfkAW5k8AWCG8VlqE5XNEM_5iY9wvjr7XHUpasqilMfVYexMwG5ACEvFvnCdZgXIHQOVQ6gd9ihUIXOlCrF7lcvs8qAOGBHKS0AKmnMbJ8dlABCaTCH7GX-hhHdSDF84BiGnmPf8A57fKWO-pEPnr9jDMMq8Ug9ttyt0xgcbylNdOL1mqehH14jLt-msSccV5HSCdvz2CY6_a7H7Pnm-ml-lz083t7Prx4yVwGMWSFl2ZRQelGbQqtSSi9B66IWxumGUNQazcwocL7yYKggjUha6ko0XlVUHrPzbe4yDv9XlEbbheSobbGn6WZbgBIzpcysnNBii7o4pBTJ22UMHca1FWA3Qu3CboTajVALlZ2ETkv_vvNXdUfN78qPwQm43AI0ffkeKNrkAvWOmhDJjbYZwl_5n5Euh8Q</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Tay, Shee-Yen</creator><creator>Tiu, Chui-Mei</creator><creator>Hu, Bing</creator><creator>Wang, Hsin-Kai</creator><creator>Chiou, Hong-Jen</creator><creator>Lin, Yung-Hui</creator><creator>Lai, Yi-Chen</creator><creator>Chan, Wing P.</creator><creator>Chou, Yi-Hong</creator><general>Elsevier Taiwan LLC</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8322-6336</orcidid><orcidid>https://orcid.org/0000-0002-7418-4514</orcidid></search><sort><creationdate>201812</creationdate><title>Characterization and management of various renal cystic lesions by sonographic features</title><author>Tay, Shee-Yen ; 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| subjects | Adolescent Adult Aged Aged, 80 and over Bosniak classification Child Complex renal cyst Cystic renal tumor Female Humans Kidney Diseases, Cystic - diagnostic imaging Kidney Diseases, Cystic - pathology Kidney Diseases, Cystic - therapy Male Middle Aged Renal cystic lesion Ultrasonography Ultrasonography - methods |
| title | Characterization and management of various renal cystic lesions by sonographic features |
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