Skip to main content
SpringerLink
Log in
Book cover

Percutaneous and Interventional Urology and Radiology pp 147–175Cite as

Diagnosis and Management of Renal Cysts

  • Chapter

Part of the book series: Clinical Practice in Urology ((PRACTICE UROLOG))

Abstract

Cystic lesions are one of the most common abnormalities of the kidney [19, 22, 23, 26]. Although some cystic lesions of the kidney are associated with devastating medical disease and present with severe symptoms, e.g., uremic medullary cystic disease, the majority of renal cystic lesions are asymptomatic and discovered incidentally on intravenous urograms or computed tomograms performed for other reasons [19, 20, 23, 26, 28]. However, an incidence of malignancies of approximately 5.5% in the group of patients discovered to harbor an asymptomatic space-occupying lesion mandates investigations to establish the diagnosis with acceptable accuracy [19, 23, 26].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ambrose SS, Lewis EL, O’Brien EP, et al. (1977) Unsuspected renal tumors associated with renal cysts. J Urol 117: 704

    PubMed  CAS  Google Scholar 

  2. Balfe DM, McClennan BL, Stanley RJ, Weyman PJ, Sagel SS (1982) Evaluation of renal masses considered indeterminate on computed tomography. Radiology 142: 421–428

    PubMed  CAS  Google Scholar 

  3. Banner MP, Pollack HM, Chatten J, Witzleben C (1981) Multilocular renal cysts: Radiologic- pathologic correlation. AJR 136: 239–247

    Google Scholar 

  4. Blyth H, Ockendon B (1971) Polycystic disease of kidneys and liver presenting in childhood. J Med Genet 8: 257–284

    Article  PubMed  CAS  Google Scholar 

  5. Burnstein J, Woodside JR (1977) Malignant hemorrhagic renal cyst with occult neoplasm. Radiology 123: 599

    Google Scholar 

  6. Carlson DH, Carlson D, Simon H (1978) Benign multilocular cystic nephroma. AJR 131: 621–625

    PubMed  CAS  Google Scholar 

  7. Clouse ME, Lee RG, Evans DD (1983) Multicystic renal cell carcinoma. CT 7: 195–198

    PubMed  CAS  Google Scholar 

  8. Coleman BG, Arger PH, Mintz MC, Pollack HM, Banner MP (1984) Hyperdense renal masses: A computed tomographic dilemma. AJR 143: 291–294

    PubMed  CAS  Google Scholar 

  9. Federle MP, Kaiser J A, McAninch JW, Jeffrey BR Jr, Mall JC (1981) The role of computed tomography in renal trauma. Radiology 141: 455

    PubMed  CAS  Google Scholar 

  10. Fishman MC, Pollack HM, Arger PH, Banner MP (1983) High protein content: Another case of CT hyperdense benign renal cyst. J Comput Assist Tomogr 7: 1103–1106

    Article  PubMed  CAS  Google Scholar 

  11. Glazer GM, London SS (1981) CT appearance of global renal infarction. J Comput Assist Tomogr 5: 847–850

    Article  PubMed  CAS  Google Scholar 

  12. Griscom ND, Vawter GF, Fellers RX (1975) Pelvo infundibular atresia: the usual form of multi- cystic kidney: 44 unilateral and 2 bilateral cases. Semin Roentgenol 10 (2): 125–132

    Article  PubMed  CAS  Google Scholar 

  13. Hilton S, Bosniak MA, Megibow AJ, Ambos MA (1981) Computed tomographic demonstration of a spontaneous subcapsular hematoma due to a small renal cell carcinoma. Radiology 141: 743–744

    PubMed  CAS  Google Scholar 

  14. Hricak H, Williams RD, Moon KL, Moss AA, Alper C, Crooks L, Kaufman L (1983) Nuclear magnetic resonance imaging of the kidney: renal masses. Radiology 147: 765

    PubMed  CAS  Google Scholar 

  15. Jackman RJ, Stevens GM (1974) Benign hemorrhagic renal cyst. Radiology 110: 7–13

    PubMed  CAS  Google Scholar 

  16. Kim WS, Goldman SM, Gatewood OMB, Marshall FF, Siegelman SS (1981) Computed tomography in calcified renal masses. J Comput Assist Tomogr 5: 855–860

    Article  PubMed  CAS  Google Scholar 

  17. Kressel HY, Filly RA (1978) Ultrasonic appearance of gas containing abscesses in the abdomen. AJR 130: 71–74

    PubMed  CAS  Google Scholar 

  18. Lang EK (1971) Coexistence of cyst and tumor in the same kidney. Radiology 101: 7–16

    PubMed  CAS  Google Scholar 

  19. Lang EK (1973) Roentgenographic assessment of asymptomatic renal lesions. Radiology 109: 257

    PubMed  CAS  Google Scholar 

  20. Lang EK (1975) Roentgenologic assessment of medullary cysts. Seminar Roentgenol 10 (2): 145–154

    Article  CAS  Google Scholar 

  21. Lang EK (1977) Asymptomatic space-occupying lesions of the kidney, a programmed sequential approach and its quality and cost of health care. South Med J 70: 77

    Article  Google Scholar 

  22. Lang EK (1980) Asymptomatic space-occupying lesions of the kidney. Minn Med 89: 733

    Google Scholar 

  23. Lang EK (1980) Roentgenologic approach to the diagnosis and management of cystic lesions of the kidney: Is cyst exploration mandatory? Urol Clin North Am 7: 677–688

    PubMed  CAS  Google Scholar 

  24. Lang EK (1984) Evaluation of renal mass lesions by imaging examinations. In: Libertino JA (ed) Current concepts of uroradiology—Interventional perspectives in urology. Williams & Wilkins, Baltimore, pp 86–101

    Google Scholar 

  25. Lang EK (1984) Angiocomputed tomography and dynamic tomography in staging of renal cell carcinoma. Radiology 151: 149–155

    PubMed  CAS  Google Scholar 

  26. Lang EK (to be published) Assessment of asymptomatic space-occupying lesions of the kidney. J Urol

    Google Scholar 

  27. Lee JKT, McClennan BL, Melson GL, Stanley RJ (1980) Acute focal bacterial nephritis: Emphasis on grey scale sonography and computed tomography. AJR 135: 87-92

    Google Scholar 

  28. Leopold GR, Talner LB, Asher WM, et al. (1973) Renal ultrasonography: an updated approach to the diagnosis of renal cysts. Radiology 109: 671

    PubMed  CAS  Google Scholar 

  29. Levine E, Hunrakoon M (1983) Computed tomography of renal oncocytoma. AJR 141: 741

    PubMed  CAS  Google Scholar 

  30. Madewell JE, Hartman DS, Lichtenstein JE (1979) Radiologic pathologic correlation in cystic disease of the kidney. Radiol Clin North Am 17: 261–279

    PubMed  CAS  Google Scholar 

  31. Madewell JE, Goldman SM, Davis CJ, Hartman DS, Feigin BS, Lichtenstein JE (1983) Multilocular cystic nephroma: A radiologic pathologic correlation of 58 patients. Radiology 146: 309–322

    PubMed  CAS  Google Scholar 

  32. Mauro MA, Wadsworth DE, Stanely RJ, McClennan BL (1982) Renal cell carcinoma: Angiography in the CT era. AJR 139: 1135-1138

    Google Scholar 

  33. McClennan BL, Stanley RJ, Melson GL, Levitt RG, Sagel SS (1979) CT of renal cyst: Is cyst puncture and aspiration necessary? AJR 133: 671–675

    PubMed  CAS  Google Scholar 

  34. Parienty RA, Pradel J, Imbert M, Picard JD, Savert P (1981) Computed tomography of multilocular cystic nephroma. Radiology 140: 135–139

    PubMed  CAS  Google Scholar 

  35. Parienty RA, Ducellier R, Pradel J, Lubrano JM, Coquill EF, Richard F (1982) Diagnostic value of CT numbers in pelvocalyceal filling defects. Radiology 145: 743–747

    PubMed  CAS  Google Scholar 

  36. Pollack HM, Edell S, Morales JO (1974) Radionuclide imaging in renal pseudo tumors. Radiology 111: 639

    PubMed  CAS  Google Scholar 

  37. Pollack HM, Goldberg BB, Morales JO, Bogash MA (1974) A systemized approach to the differential diagnosis of renal masses. Radiology 113: 653–659

    PubMed  CAS  Google Scholar 

  38. Pollack HM, Banner MP, Arger TH, Goldberg BB, Mulhern CB Jr (1979) Comparison of computed tomography in ultrasound and diagnosis of renal masses. Clin Diagn Ultrasound 2: 25–72

    Google Scholar 

  39. Pollack HM, Arger BH, Banner MP, Mulhern CT, Coleman BJ (1981) Computed tomography of renal pelvic filling defects. Radiology 138: 645–651

    PubMed  CAS  Google Scholar 

  40. Ragahavendra BN, Bosniak MA, Megibow AJ (1983) Small angiomyolipoma of the kidney: sonographic evaluation. AJR 141: 575–578

    Google Scholar 

  41. Richie JP, Jarnick MB, Seltzer S, Bettmann MA (1983) Computerized tomography scan for diagnosis and the staging of renal cell carcinoma. J Urol 129: 1114–1116.

    PubMed  CAS  Google Scholar 

  42. Sagel SS, Siegel MJ, Stanley RJ, Jost RG (1977) Detection of retroperitoneal hemorrhage by computed tomography. AJR 129: 403–407

    PubMed  CAS  Google Scholar 

  43. Saxton HM, Golding SJ, Chantler C, Haycock JD (1981) Diagnostic puncture in renal cyst dysplasia (multicystic kidney): evidence on the etiology of the cysts. Br J Radiol 54: 555–561

    Article  PubMed  CAS  Google Scholar 

  44. Shanser JD, Hedgcock MW, Korobkin M (1978) Transit of contrast material into renal cyst following urography and arteriography. AJR 130: 584

    Google Scholar 

  45. Sherman JL, Hartman DS, Friedman AC, Madewell JC, Davis CJ, Goldman SM (1981) Angiomyolipoma: Computed tomographic-pathologic correlation of 17 cases. AJR 137: 1221–1226

    PubMed  CAS  Google Scholar 

  46. Sussman S, Cochran ST, Pagani J J, McArdle C, Wong W, Austin R, Curry N, Kelly KM (1984) Hyperdense renal masses: A CT manifestation of hemorrhagic renal cysts. Radiology 150: 207-211

    Google Scholar 

  47. Sussman S, Cochran ST, Pahani JJ, McArdle C et al. (1984) Hyperdense renal masses: A CT manifestation of hemorrhagic renal cysts. Radiology 150: 207-211

    Google Scholar 

  48. Totty WG, McClennan BL, Melson GL, Patel R (1981) Relative value of computed tomography and ultrasonography in the assessment of renal angiomyolipoma. J Comput Assist Tomogr 5: 173–178

    Article  PubMed  CAS  Google Scholar 

  49. Weyman PJ, McClennan BL, Stanley RJ, Levitt RJ, Sagel SS (1980) Comparison of computed tomography and angiography in the evaluation of renal cell carcinoma. Radiology 137: 417–424

    PubMed  CAS  Google Scholar 

  50. Weyman PJ, McClennan BL, Lee JKT, et al. (1982) Computed tomography of calcified renal masses. Am J Roentgenol 138: 1095

    CAS  Google Scholar 

  51. Zimmer WD, Williamson B Jr, Hartman GW, Hattery RR, O’Brien TC (1984) Changing patterns in the evaluation of renal masses: Economic implications. AJR 143: 285–289

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Erich K. Lang
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Radiology, School of Medicine in New Orleans, Louisana State Univeristy Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA, USA

    Erich K. Lang MD (Professor and Chairman) (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Lang, E.K. (1986). Diagnosis and Management of Renal Cysts. In: Lang, E.K. (eds) Percutaneous and Interventional Urology and Radiology. Clinical Practice in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-1386-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1386-7_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1388-1

  • Online ISBN: 978-1-4471-1386-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation