The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol

One of the most frequent kidney pathologies encountered in daily practice is represented by the presence of renal cysts. Most of them are asymptomatic and are found accidentally during periodical check-ups because they don’t have clinical signs until they grow and compress the surrounding organs. We...

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Main Authors: Radu ANGHEL, Lucian IORGA, Dragos MARCU, Dan SPINU, Ion MOTOFEI, Ana Maria A. STANESCU, Bogdan SOCEA, Andra I. SUCEVEANU, Elvira BRATILA, Dan MISCHIANU, Ovidiu BRATU
Format: Article
Language:English
Published: Balkan Medical Union 2018-09-01
Series:Archives of the Balkan Medical Union
Subjects:
Online Access:https://umbalk.org/wp-content/uploads/2018/09/21.THE-ROLE-OF-BOSNIAK-CLASSIFICATION.pdf
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author Radu ANGHEL
Lucian IORGA
Dragos MARCU
Dan SPINU
Ion MOTOFEI
Ana Maria A. STANESCU
Bogdan SOCEA
Andra I. SUCEVEANU
Elvira BRATILA
Dan MISCHIANU
Ovidiu BRATU
author_facet Radu ANGHEL
Lucian IORGA
Dragos MARCU
Dan SPINU
Ion MOTOFEI
Ana Maria A. STANESCU
Bogdan SOCEA
Andra I. SUCEVEANU
Elvira BRATILA
Dan MISCHIANU
Ovidiu BRATU
author_sort Radu ANGHEL
collection DOAJ
description One of the most frequent kidney pathologies encountered in daily practice is represented by the presence of renal cysts. Most of them are asymptomatic and are found accidentally during periodical check-ups because they don’t have clinical signs until they grow and compress the surrounding organs. We have reviewed the current data regarding this pathology, in order to underline the risk of malignant transformation and its impact on the patient’s life. It is estimated that the prevalence rate of renal cysts in the general population is approximately 10% and it increases with age.Imaging investigations, such as contrast tomography or magnetic resonance imaging, are essential for establishing the cysts characteristics, especially when ultrasonography raises the suspicion of a modified renal cyst, as well as in guiding the therapeutical protocol. The Bosniak classification is based on contrast tomography scans and has allowed the standardization of the kidney cysts, considering their characteristics. More attention should be given to Bosniak IIF and III cystic renal masses, which contain thickened walls and more septa, but no enhanced nodules/soft tissue components, because more than half of these cysts can have a malignant component.
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spelling doaj.art-2981c88dc0404e1285e30d42d9843fca2022-12-21T22:58:48ZengBalkan Medical UnionArchives of the Balkan Medical Union1584-92442558-815X2018-09-01533445448https://doi.org/10.31688/ABMU.2018.53.3.21The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocolRadu ANGHEL0Lucian IORGA1Dragos MARCU2Dan SPINU3 Ion MOTOFEI4Ana Maria A. STANESCU5Bogdan SOCEA6Andra I. SUCEVEANU7Elvira BRATILA8Dan MISCHIANU9Ovidiu BRATU10Clinic of Urology, University Emergency Central Military Hospital „Dr. Carol Davila“, Bucharest, RomaniaClinic of Urology, University Emergency Central Military Hospital „Dr. Carol Davila“, Bucharest, Romania Clinic of Urology, University Emergency Central Military Hospital „Dr. Carol Davila“, Bucharest, Romania, University of Medicine and Pharmacy „Carol Davila“, Clinical Departament 3, Bucharest, Romania Clinic of Urology, University Emergency Central Military Hospital „Dr. Carol Davila“, Bucharest, Romania, University of Medicine and Pharmacy „Carol Davila“, Clinical Departament 3, Bucharest, Romania„Carol Davila“ University of Medicine and Pharmacy, Department of Surgery, Emergency Clinical Hospital “St. Pantelimon“, Bucharest, Romania „Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania „Carol Davila“ University of Medicine and Pharmacy, Department of Surgery, Emergency Clinical Hospital “St. Pantelimon“, Bucharest, RomaniaFaculty of Medicine, Ovidius University, Constanta, Romania „Carol Davila“ University of Medicine and Pharmacy, Clinic of Obstetrics and Gynecology, „Panait Sarbu“ Hospital, Bucharest, Romania Clinic of Urology, University Emergency Central Military Hospital „Dr. Carol Davila“, Bucharest, Romania, University of Medicine and Pharmacy „Carol Davila“, Clinical Departament 3, Bucharest, Romania, Academy of Romanian Scientists Clinic of Urology, University Emergency Central Military Hospital „Dr. Carol Davila“, Bucharest, Romania, University of Medicine and Pharmacy „Carol Davila“, Clinical Departament 3, Bucharest, Romania, Academy of Romanian ScientistsOne of the most frequent kidney pathologies encountered in daily practice is represented by the presence of renal cysts. Most of them are asymptomatic and are found accidentally during periodical check-ups because they don’t have clinical signs until they grow and compress the surrounding organs. We have reviewed the current data regarding this pathology, in order to underline the risk of malignant transformation and its impact on the patient’s life. It is estimated that the prevalence rate of renal cysts in the general population is approximately 10% and it increases with age.Imaging investigations, such as contrast tomography or magnetic resonance imaging, are essential for establishing the cysts characteristics, especially when ultrasonography raises the suspicion of a modified renal cyst, as well as in guiding the therapeutical protocol. The Bosniak classification is based on contrast tomography scans and has allowed the standardization of the kidney cysts, considering their characteristics. More attention should be given to Bosniak IIF and III cystic renal masses, which contain thickened walls and more septa, but no enhanced nodules/soft tissue components, because more than half of these cysts can have a malignant component.https://umbalk.org/wp-content/uploads/2018/09/21.THE-ROLE-OF-BOSNIAK-CLASSIFICATION.pdfrenal cystsBosniak classificationmalignant transformation
spellingShingle Radu ANGHEL
Lucian IORGA
Dragos MARCU
Dan SPINU
Ion MOTOFEI
Ana Maria A. STANESCU
Bogdan SOCEA
Andra I. SUCEVEANU
Elvira BRATILA
Dan MISCHIANU
Ovidiu BRATU
The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
Archives of the Balkan Medical Union
renal cysts
Bosniak classification
malignant transformation
title The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
title_full The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
title_fullStr The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
title_full_unstemmed The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
title_short The role of Bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
title_sort role of bosniak classification in the assessment of renal cystic masses and in the therapeutical protocol
topic renal cysts
Bosniak classification
malignant transformation
url https://umbalk.org/wp-content/uploads/2018/09/21.THE-ROLE-OF-BOSNIAK-CLASSIFICATION.pdf
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