A Clinical View of Simple and Complex Renal Cysts
A Clinical View of Simple and Complex Renal Cysts
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DOI：
10.1681/asn.2008040441
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发表时间：
2009-09-01
影响因子：
13.6
通讯作者：
Eknoyan, Garabed
中科院分区：
文献类型：
--
作者：
Eknoyan, Garabed
腹部超声诊断或计算机断层扫描的可用性和使用导致经常发现无症状肾囊肿。其中绝大多数是单纯性囊肿，通常是单侧和孤立的，具有明确的结构和影像学特征，其发生，数量和双侧性随年龄增加而增加。单纯性囊肿无症状，除非有出血、感染或破裂等并发症导致复杂性囊肿伴钙化、边界不规则和多小叶。囊肿存在的诊断挑战是将不太常见的复杂复杂囊肿与恶性肿瘤相关的囊肿区分开来，并且当数量众多时，可能预示着遗传性或获得性肾脏多囊性疾病。
The availability and use of abdominal diagnostic ultrasonography or computed tomography has led to the frequent detection of asymptomatic renal cysts. The vast majority of these are simple cysts that are usually unilateral and solitary with well-defined structural and imaging features and whose occurrence, number, and bilaterality increase with age. Simple cysts are asymptomatic, except when complications such as hemorrhage, infection, or rupture lead to the development of complex cysts with calcification, demarcation irregularities, and multilobularity. The diagnostic challenges that cysts present are in the differentiation of the less common complicated complex cysts from those associated with malignancy and when numerous the possible heralding of genetic or acquired multicystic diseases of the kidney.