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Simple renal cyst. A renal cyst is a fluid collection in or on the kidney. There are several types based on the Bosniak classification. The majority are benign, simple cysts that can be monitored and not intervened upon. However, some are cancerous or are suspicious for cancer and are commonly removed in a surgical procedure called nephrectomy.
Cysts or dysplasia are absent and apart from its decreased size, every other facet of the kidneys is unaffected. If unilateral, the contralateral kidney can undergo hypertrophy to compensate for the affected kidney, and renal function stays normal.
Renal cysts have been reported in more than 50% of patients over the age of 50. [2] Typically, cysts grow up to 2.88 mm annually and may cause related pain and/or hemorrhage. [2] Of the cystic kidney diseases, the most common is polycystic kidney disease with two sub-types: the less prevalent autosomal recessive and more prevalent autosomal ...
The enlargement of the kidney can be related to the degree of cyst formation. The cysts which come from the Bowmans space can also cause the kidneys to appear asymmetrical or misshapen. Cysts can cause injury by destroying nearby renal tissue [10] Familial GCKD can have enlarged or normal size kidneys. [6]
The Bosniak classification is divided into four groups going from I, corresponding to a simple cyst, to IV, corresponding to a cyst with solid parts and an 85–100% risk of malignancy. [1] In polycystic kidney disease, multiple cysts of varying size in close contact with each other are seen filling virtually the entire renal region.
Nonrandomised controlled trials conducted in the '90s showed that patients with symptomatic simple renal cysts who had recurrence of symptoms after initial response to simple aspiration could be safely submitted to cyst decortication, with a mean pain-free life between 17 and 24 months after surgery.
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