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- Title
Renal Cyst - a Benign Disease? - Discussions Based on a Case Report -.
- Authors
Gîngu, C.; Turcanu, A.; Dick, A.; Surcel, C.; Pătrăşcoiu, S.; Mirvald, C.; Himedan, O.; Domnişor, Liliana; Constantinescu, I.; Sinescu, I.
- Abstract
Introduction and objective: Renal cystic formations are generally included in two categories, simple renal cysts and complicated renal cysts. The management of these two categories is completely different, and diagnostic confusions can lead to mistreatment and can impair patients' life. Our purpose is to present the management of a cystic RCC referred to our clinic as a simple cyst and to discuss different medical aspects related to this case. Patient, Method and Results: The patient D.I., aged 63 years, was investigated in a different unit for left flank pain and was referred to our clinic for a left simple renal cyst diagnosed through ultrasound (12 cm in diameter). The abdominal ultrasound in our department revealed a medial renal cyst with some irregularities and partially thickened walls, about 12 cm in diameter. In addition to the ultrasound, we decided a CT scan (with contrast material administered IV) was needed, which found a renal cystic mass, classified Bosniak III, without adenopathy or distant metastases. Consequently we performed a left radical nephrectomy with regional lymph node dissection by anterior transperitoneal approach. Histopathological result showed a clear cell renal carcinoma Fuhrman I. The 2 year follow-up was without regional recurrence or distant metastasis on the CT scan. Conclusions: The ultrasound evaluation of the patients with renal cystic lesions is closely related to the investigator's experience and the quality of the equipment available in each unit, which makes necessary the careful reassessment of the patients. Although the simple cyst could be diagnosed by ultrasound we consider mandatory to perform a contrast CT scan before the surgery. Surgical treatment of complicated cysts should be similar to that of renal tumors to avoid diagnostic errors that could lead to poor treatment and could impair the prognosis for the patient.
- Subjects
CYSTIC kidney disease; UROLOGY; TOMOGRAPHIC scanners; HISTOPATHOLOGY
- Publication
Romanian Journal of Urology, 2012, Vol 11, Issue 3, p44
- ISSN
1223-0650
- Publication type
Case Study