Bosniak Tip III Böbrek Kistinin Spontan Regresyonu

Abdominal ultrason ve kompüterize tomografi gibi non-invaziv diagnostik aletlerin yaygın kullanımı ile böbrek kistleri daha artan bir sıklıkla teşhis edilmeye başlamıştır. Bosniak, cerrahi olmayan tip I ve tip II ile cerrahi işlem gerektirenleri tip III ve tip IV düzenlemek amacıyla bir sınıfl ama sistemi oluşturmuştur. Tip II ve tip III kistik lezyonların arasında net bir ayırım yoktur. Renal kistlerin spontan regresyonu ise nadir görülen bir durumdur. Biz bu yazımızda Bosniak tip III kisti bulunan 21 yaşında bir bayan hastayı sunarken kistin izlemi ve bu arada şüpheli renal kistik lezyonların değerlendirilmesini tartıştık

Spontaneous Regression of Bosniak Type Iii Cyst

With the widespread use of non-invasive diagnostic tools, such as abdominal ultrasound and computerized tomography, renal cysts are diagnosed with increasing frequency. Bosniak suggested a classifi cation in an attempt to sort out the diff erent cases into nonsurgical type I and type II , and surgical ones type III and type IV . Diff erential diagnosis of cyctic lesions type II and III is not easy to perform.. Spontaneous regression of renal cysts is a rare phenomenon. We report a 21 years old female patient with Bosniak type III cyst and discuss its regression and diagnostic tools to evaluate suspicious renal cystic lesions

___

Laucks SP Jr, Mc Lachlan MSF: Aging and simple renal cysts of the kidney. Br J Radiol, 54: 12, 1981.

Israel GM, Bosniak MA: An update of the Bosniak cyst classifi cation system. Urology, 66: 484-488, 2005.

Irael GM, Bosniak MA: Follow-up CT studies for moderately complex cystic renal masses (Bosniak category IIF). AJR Am J Roentgenol 181: 627-633, 2003.

Israel GM, Hindman N, Bosniak MA: Comparison CT and MRI in the evaluation of cystic renal masses. Radiology, 231: 365-371, 2004.

Rybicki FJ, Shu KM, Cibas ES, et al: Percutaneous biopsy of renal masses: sensitivityand negative predictive value stratifi ed by clinical setting and size of masses. AJR Am J Roentgenol, 180: 1281-1287, 2003.

Kessel HC Jr, Tynes WV 2nd: Spontaneous regression of renal cysts. Urology, 17(4): 356-357, 1981.

Steel JF, Howe GE, Feeney MJ, Blum JA: Spontaneous remission of parapelvic renal cysts. J Urol, 114(1): 10-13, 1975.

Alan J. Wein: Campbell-Walsh Urology. Saunders Elsevier, 9th edition, 2007, pp. 273-276, 3297-3301.