Progression, in erobserver agreement, and malignancy rate in complex renal cysts (≥Bosniak category IIF)
Progression, in erobserver agreement, and malignancy rate in complex renal cysts (≥Bosniak category IIF)
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DOI：
10.1016/j.urolonc.2012.08.018
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发表时间：
2014-01-01
影响因子：
2.7
通讯作者：
Nabi, Ghulam
中科院分区：
文献类型：
--
作者：
El-Mokadem, Ismail;Budak, Mathew;Nabi, Ghulam
目的：本研究的目的是评估观察者之间的协议，临床病理相关性，和radiolo 2 i后续进展的复杂囊性renal masses.Patients和方法：143例患者的医疗记录，154复杂囊性肾肿块进行了检索。主要结果是放射科医师之间的观察者间一致性，以及手术切除后的恶性肿瘤发生率，有或无随访。第四类。其次是对比增强CT扫描的组织学和增强程度之间的相关性，以及使用Kaplan-Meier分析进行手术或不进行手术干预的患者的生存分析。27例确诊的肾细胞癌的最终组织学检查。乳头状肾细胞癌9例（33.3%）。观察者间一致性评估得出加权kappa统计值为0.69（95%置信区间为0.56-0.82）。P
Objective: The objective of this study was to assess interobserver agreement, clinicopathologic correlation, and radiolo2i follow-up progression of complex cystic renal masses.Patients and methods: The medical records of 143 patients with 154 complex cystic renal masses were retrieved. Primary outcomes were interobserver agreement between the radiologists, and malignancy rates following surgical extirpation with or without follow-up in Bosniak RP, Ill. and IV categories. Secondaiy outcomes were correlation between histology and degree of enhancement on contrast-enhanced computed tomography scans and survival analysis of patients with or without surgical intervention using the Kaplan-Meier analysis.Results: The overall malignancy rate in patients who had surgery was 74.5% (29/39). Of 27 conliimed renal cell carcinoma on final histology. 9 were papillary renal cell carcinoma (incidence 33.3%). Assessment of interobserver agreement yielded a weighted kappa statistic value of 0.69 (95% confidence interval 0.56-0.82. P