Documente Academic
Documente Profesional
Documente Cultură
GINJAL KOMPLEKS
SIMPLE KISTA
Simple kista > 50% dari
populasi > 50 years, karena obstruksi dari tubulus patau duktus. Biasanya gejalanya asimtomatik; hematuria ( ruptur kista). Efek dari kista yang membesar menyebabkan rasa sakit dan rasa tidak nyaman
Lucent defect
Cortical bulge
Enhanced through-transmission
Be Careful:
Cysts that contain calcium, septations, and irregular margins (complicated cysts) need further workup True renal cysts should always be differentiated from hydronephrosis, calyceal diverticulum, and peripelvic cysts.
Differentiate renal cyst from hypoechoic renal artery aneurysm using color Doppler US and Angiography
Hydronephrosis:
Parapelvic Cyst
Calyceal Diverticulum
Complicated CYSTS
Complicated cysts are cysts that do not meet the criteria of simple cysts and thus require further workup.
Bosniak Classification:
Category (Bosniak) US Features Workup
Round, anechoic, thin wall enhanced through transmission Thin septation, calcium in wall Multiple septae, internal echos mural nodules Thick septae
None
CT or US follow-up
Cyst with uniform, mild wall thickening and short, interrupted calcifications
cystic mass with irregular wall thickening and associated heterogeneous nonenhancing elements
A 42-year-old female with back pain, hematuria, and a renal mass discovered by lumbar spine MR.
hyperdense (55 HU) 3 cm mass.
Thank you
Thank you