Division of Urology, Department of Surgery, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Urology, Department of Surgery, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Urol Clin North Am. 2023 May;50(2):227-238. doi: 10.1016/j.ucl.2023.01.003. Epub 2023 Feb 20.
Cystic renal masses describe a spectrum of lesions with benign and/or malignant features. Cystic renal masses are most often identified incidentally with the Bosniak classification system stratifying their malignant potential. Solid enhancing components most often represent clear cell renal cell carcinoma yet display an indolent natural history relative to pure solid renal masses. This has led to an increased adoption of active surveillance as a management strategy in those who are poor surgical candidates. This article provides a contemporary overview of historical and emerging clinical paradigms in the diagnosis and management of this distinct clinical entity.
囊性肾肿块描述了一系列具有良性和/或恶性特征的病变。囊性肾肿块最常被偶然发现，Bosniak 分类系统对其恶性潜能进行分层。实性强化成分最常代表透明细胞肾细胞癌，但与纯实性肾肿块相比，其具有惰性的自然病史。这导致在那些手术条件较差的患者中，积极监测作为一种管理策略的应用增加。本文提供了在该独特临床实体的诊断和管理方面历史和新兴临床范例的现代概述。
