Yıl: 2021 Cilt: 17 Sayı: 1 Sayfa Aralığı: 7 - 10 Metin Dili: İngilizce DOI: 10.5222/BMJ.2021.37450 İndeks Tarihi: 20-05-2021

Approach to Complex Renal Cysts: A Single-Center Experience

Öz:
Objective: In this study we aimed to present the data for patients followed-up and operated due to complex renal cysts using Bosniak classification system.Method: Data of all patients followed-up or underwent surgery via open / minimal invasive methods due to complex renal cysts in our clinic between 2016 and 2019 were retrospectively evaluated. Bosniak category IIF and higher lesions were included in the study.Results: A total of 83 patients were included in the study. The mean age of the patients was 52 ±10.1 years and 40 (48.2%) were male and 43 (51.8%) were female. Fifty-three (63.9%) patients had Bosniak IIF, 18 (21.7%) Bosniak III and 12 (14.5%) Bosniak IV lesions. Mean lesion size was 54±27.4 mm based on radiological evaluation. Surgery was performed in a total of 41 (49.4%) patients. Based on final pathology results, benign pathologies were detected in 13 (31.7%), clear cell renal cell carcinoma in 22 (53.7%), and papillary renal cell carcinoma in 6 (14.6%) patients. Malignancy rates were detected as 18.9%, 44.4% and 83.3% in Bosniak IIF, III and IV lesions , respectively. While the mean lesion size of the patients who had benign pathology was 64.6±18.4 mm, the mean lesion size of the patients with malign pathology was 58.3±29.7 mm (p = .41).Conclusion: Progression is an important finding of malignancy in Bosniak IIF lesions. An important amount of especially Bosniak III lesions are receiving unnecessary treatment. Thus, active surveillance is a treatment which should be considered in these patients. More comprehensive prospective randomized studies are needed.
Anahtar Kelime:

Kompleks Renal Kistlere Yaklaşım: Tek Merkez Deneyimi

Öz:
Amaç: Biz bu çalışmamızda kompleks böbrek kisti nedeniyle Bosniak sınıflama sistemi kullanılarak takip edilen veya opere edilen hastaların verilerini sunmayı amaçladık.Yöntem: Kliniğimizde 2016-2019 yılları arasında kompleks böbrek kisti nedeniyle takip edilen veya açık / minimal invaziv yöntemler ile opere edilen tüm hastaların verileri retrospektif olarak incelendi. Bosniak kategorisi IIF ve üstü lezyonlar çalışmaya dahil edildi.Bulgular: Çalışmaya toplam 83 hasta dahil edildi. Hastaların ortalama yaşı 52 ±10,1 yıl iken 40’ı (%48,2) erkek ve 43’ü (%51.8) kadın idi. 53 (%63,9) hastada Bosniak IIF, 18 (%21,7) hastada Bosniak III ve 12 (%14,5) hastada Bosniak IV lezyon mevcut idi. Görüntülemede ortalama lezyon boyutu 54±27.4 mm idi. Toplam 41 (%49,4) hastaya cerrahi uygulandı. Final patoloji sonucuna göre 13 (%31,7) hastada benign patolojiler saptanırken 22 (%53,7) hastada berrak hücreli renal cell karsinom ve 6 hastada (%14,6) papiller renal hücreli karsinom saptandı. Malignite oranları Bosniak IIF, III ve IV lezyonlar için sırasıyla %18,9, %44,4 ve %83.3 olarak saptandı. Nefrektomi geçirip patolojisi benign gelen hastaların lezyon boyutları 64.6±18.4 mm iken patolojisi malign gelen hastaların lezyon boyutları ise 58.3±29.7 mm idi (p= .41).Sonuç: Bosniak IIF lezyonlarda progresyon önemli bir malignite bulgusudur. Özellikle Bosniak III lezyonların önemli bir kısmı gereksiz tedavi edilmektedir. Bu yüzden, bu hastalarda aktif izlem göz önünde bulundurulması gereken bir tedavidir. Bununla birlikte, daha geniş kapsamlı, prospektif randomize çalışmalara ihtiyaç vardır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA GUNER E, Kalfazade N (2021). Approach to Complex Renal Cysts: A Single-Center Experience. , 7 - 10. 10.5222/BMJ.2021.37450
Chicago GUNER EKREM,Kalfazade Nadir Approach to Complex Renal Cysts: A Single-Center Experience. (2021): 7 - 10. 10.5222/BMJ.2021.37450
MLA GUNER EKREM,Kalfazade Nadir Approach to Complex Renal Cysts: A Single-Center Experience. , 2021, ss.7 - 10. 10.5222/BMJ.2021.37450
AMA GUNER E,Kalfazade N Approach to Complex Renal Cysts: A Single-Center Experience. . 2021; 7 - 10. 10.5222/BMJ.2021.37450
Vancouver GUNER E,Kalfazade N Approach to Complex Renal Cysts: A Single-Center Experience. . 2021; 7 - 10. 10.5222/BMJ.2021.37450
IEEE GUNER E,Kalfazade N "Approach to Complex Renal Cysts: A Single-Center Experience." , ss.7 - 10, 2021. 10.5222/BMJ.2021.37450
ISNAD GUNER, EKREM - Kalfazade, Nadir. "Approach to Complex Renal Cysts: A Single-Center Experience". (2021), 7-10. https://doi.org/10.5222/BMJ.2021.37450
APA GUNER E, Kalfazade N (2021). Approach to Complex Renal Cysts: A Single-Center Experience. Bakırköy Tıp Dergisi, 17(1), 7 - 10. 10.5222/BMJ.2021.37450
Chicago GUNER EKREM,Kalfazade Nadir Approach to Complex Renal Cysts: A Single-Center Experience. Bakırköy Tıp Dergisi 17, no.1 (2021): 7 - 10. 10.5222/BMJ.2021.37450
MLA GUNER EKREM,Kalfazade Nadir Approach to Complex Renal Cysts: A Single-Center Experience. Bakırköy Tıp Dergisi, vol.17, no.1, 2021, ss.7 - 10. 10.5222/BMJ.2021.37450
AMA GUNER E,Kalfazade N Approach to Complex Renal Cysts: A Single-Center Experience. Bakırköy Tıp Dergisi. 2021; 17(1): 7 - 10. 10.5222/BMJ.2021.37450
Vancouver GUNER E,Kalfazade N Approach to Complex Renal Cysts: A Single-Center Experience. Bakırköy Tıp Dergisi. 2021; 17(1): 7 - 10. 10.5222/BMJ.2021.37450
IEEE GUNER E,Kalfazade N "Approach to Complex Renal Cysts: A Single-Center Experience." Bakırköy Tıp Dergisi, 17, ss.7 - 10, 2021. 10.5222/BMJ.2021.37450
ISNAD GUNER, EKREM - Kalfazade, Nadir. "Approach to Complex Renal Cysts: A Single-Center Experience". Bakırköy Tıp Dergisi 17/1 (2021), 7-10. https://doi.org/10.5222/BMJ.2021.37450