Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center

IntroductionRecent data have reexamined the historical rates of malignancy observed in Bosniak IIF and III cystic lesions, and this has led to an endorsement of the use of active surveillance as the standard of care for Bosniak III renal cysts by affirming that overtreatment rates for this subgroup...

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Tipo de recurso:
Fecha de publicación:
2019
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/24565
Acceso en línea:
https://doi.org/10.7759/cureus.6257
https://repository.urosario.edu.co/handle/10336/24565
Palabra clave:
kidney
cysts
tomography
x ray computed
kidney neoplasms
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id EDOCUR2_3ca6b9a511803075513f1ca7edf224d6
oai_identifier_str oai:repository.urosario.edu.co:10336/24565
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling cf3ef77b-6b1f-4794-bc5d-bc44f58f43c1-1b430addf-fdde-402a-bd09-937647e1a64a-1907eaddf-32d4-45ac-a0e3-e28cbdec05fc-12d28a751-d81f-4924-ae57-e21c86a00d40-1d19cbf5b-205e-4566-87e2-f7b4acef84e2-1dc674514-56c2-40cc-a976-e66f05fd49a6-1c069c78a-6459-4aef-87bb-9d1548cb3438-12020-06-11T13:20:46Z2020-06-11T13:20:46Z2019-11-29IntroductionRecent data have reexamined the historical rates of malignancy observed in Bosniak IIF and III cystic lesions, and this has led to an endorsement of the use of active surveillance as the standard of care for Bosniak III renal cysts by affirming that overtreatment rates for this subgroup are close to 50%. In light of this, the present study describes the correlation between imaging studies and pathologic diagnosis in patients surgically treated for complex renal cysts in Colombia.Materials and methodsThis is a retrospective, descriptive, and observational study. We analyzed the medical histories of patients who had been surgically treated for complex renal cysts between 2010 and 2018 in the urology department of a tertiary center in Bogota, Colombia. The exclusion criteria were incomplete clinical histories and absent diagnostic images or their official interpretation.ResultsOut of the 235 urological procedures performed, nine were excluded. And 6.19% (n = 14) were cases of surgically treated complex renal cysts; 38.46% were compatible with Bosniak 46.15% were Bosniak III, and 15.38% were Bosniak IV. The percentage of renal cancer as revealed by the histopathological study was 60, 66.7 and 100 for renal cysts Bosniak IIF, III, and IV, respectively; 77.7% of these confirmed oncological cases had received a diagnosis of clear cell renal carcinoma.ConclusionsIn our study, the percentage of malignancy in patients with renal cysts Bosniak IIF and III was found to be greater compared to the findings in the recent medical literature. We believe that the management offered to the population with complex renal cysts in Colombia should be tailored to the individual risk characteristics of each patient.application/pdfhttps://doi.org/10.7759/cureus.62572168-8184https://repository.urosario.edu.co/handle/10336/24565engCureusNo. 11e6257CureusVol. 11Cureus, ISSN: 2168-8184, Vol.11, No.11 (2019-11-29); pp. e6257https://assets.cureus.com/uploads/original_article/pdf/25147/1577780444-20191231-4773-1qnssls.pdfAbierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURkidneycyststomographyx ray computedkidney neoplasmsClinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary CenterarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Castañeda-Millán, DavidBarros-Valderrama, DarwinCamacho-Nieto, DiegoRiveros, Carlos AAlzate-Granados, JuanSalgado-Tovar, JavierDonoso-Donoso, Wilfredo10336/24565oai:repository.urosario.edu.co:10336/245652022-05-02 07:37:21.703816https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
title Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
spellingShingle Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
kidney
cysts
tomography
x ray computed
kidney neoplasms
title_short Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
title_full Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
title_fullStr Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
title_full_unstemmed Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
title_sort Clinical Correlation Between Computerized Tomography Findings and Pathologic Diagnosis in Patients Surgically Treated for Complex Renal Cysts in a Colombian Tertiary Center
dc.subject.keyword.spa.fl_str_mv kidney
cysts
tomography
x ray computed
kidney neoplasms
topic kidney
cysts
tomography
x ray computed
kidney neoplasms
description IntroductionRecent data have reexamined the historical rates of malignancy observed in Bosniak IIF and III cystic lesions, and this has led to an endorsement of the use of active surveillance as the standard of care for Bosniak III renal cysts by affirming that overtreatment rates for this subgroup are close to 50%. In light of this, the present study describes the correlation between imaging studies and pathologic diagnosis in patients surgically treated for complex renal cysts in Colombia.Materials and methodsThis is a retrospective, descriptive, and observational study. We analyzed the medical histories of patients who had been surgically treated for complex renal cysts between 2010 and 2018 in the urology department of a tertiary center in Bogota, Colombia. The exclusion criteria were incomplete clinical histories and absent diagnostic images or their official interpretation.ResultsOut of the 235 urological procedures performed, nine were excluded. And 6.19% (n = 14) were cases of surgically treated complex renal cysts; 38.46% were compatible with Bosniak 46.15% were Bosniak III, and 15.38% were Bosniak IV. The percentage of renal cancer as revealed by the histopathological study was 60, 66.7 and 100 for renal cysts Bosniak IIF, III, and IV, respectively; 77.7% of these confirmed oncological cases had received a diagnosis of clear cell renal carcinoma.ConclusionsIn our study, the percentage of malignancy in patients with renal cysts Bosniak IIF and III was found to be greater compared to the findings in the recent medical literature. We believe that the management offered to the population with complex renal cysts in Colombia should be tailored to the individual risk characteristics of each patient.
publishDate 2019
dc.date.created.spa.fl_str_mv 2019-11-29
dc.date.accessioned.none.fl_str_mv 2020-06-11T13:20:46Z
dc.date.available.none.fl_str_mv 2020-06-11T13:20:46Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.7759/cureus.6257
dc.identifier.issn.none.fl_str_mv 2168-8184
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/24565
url https://doi.org/10.7759/cureus.6257
https://repository.urosario.edu.co/handle/10336/24565
identifier_str_mv 2168-8184
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.citationIssue.none.fl_str_mv No. 11
dc.relation.citationStartPage.none.fl_str_mv e6257
dc.relation.citationTitle.none.fl_str_mv Cureus
dc.relation.citationVolume.none.fl_str_mv Vol. 11
dc.relation.ispartof.spa.fl_str_mv Cureus, ISSN: 2168-8184, Vol.11, No.11 (2019-11-29); pp. e6257
dc.relation.uri.spa.fl_str_mv https://assets.cureus.com/uploads/original_article/pdf/25147/1577780444-20191231-4773-1qnssls.pdf
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Cureus
institution Universidad del Rosario
dc.source.instname.spa.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.spa.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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