Abstract
We evaluated the outcomes of surgical intervention and active surveillance in patients diagnosed with cystic renal cell carcinoma at our hypothesized radiological cutoff of greater than 50% cystic. We identified all 430 patients with a pathologically confirmed cystic renal mass that fit our criteria from 2000 to 2015. The 292 patients with a lack of computerized tomography, tumors less than 50% cystic on imaging, multifocal tumors and prior renal cell carcinoma were excluded from study. Patients were stratified into benign or malignant subgroups, and radiological, clinicopathological and oncologic features were determined. Univariate and multivariate associations between clinicoradiological parameters in each group were analyzed. We similarly reviewed the records of a separate cohort of patients treated with active surveillance for cystic renal cell carcinoma. Of the 138 identified cases of cystic renal cell carcinoma 102 (73.9%) were renal cell carcinoma and 36 (26.1%) were benign masses. Of the tumors 77.5% were Fuhrman grade 1-2, 83.4% were stage pT2 or less and 65.9% showed clear cell histology. On univariate analysis male gender, a solid component and increasing Bosniak classification were significant for malignancy. In a ...Continue Reading
References
Jan 1, 1986·Radiology·M A Bosniak
Aug 1, 1986·Urology·D S HartmanS M Goldman
Jan 23, 1999·The Journal of Urology·F A CoricaD G Bostwick
Jan 13, 2006·The Journal of Urology·Sam N ChawlaRobert G Uzzo
Feb 25, 2010·Annals of Surgical Oncology·Stephen B Edge, Carolyn C Compton
Jun 28, 2011·European Urology·Michael J LeveridgeMichael A S Jewett
Mar 8, 2012·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Mas JewettJ Willacy
May 23, 2012·BJU International·Philippe VioletteWassim Kassouf
Apr 17, 2013·Urologic Oncology·Johannes HuberSascha Pahernik
May 15, 2013·The Journal of Urology·Sherri M DonatSam S Chang
Jul 26, 2013·AJR. American Journal of Roentgenology·Kartik JhaveriMichael Jewett
Mar 4, 2014·Journal of the National Comprehensive Cancer Network : JNCCN·Robert J MotzerUNKNOWN Natiomal compresensive cancer networks
Jul 16, 2014·Urologic Oncology·Adam C ReeseChristian P Pavlovich
Sep 1, 2015·Urologic Oncology·Brian R WintersJonathan L Wright
Oct 19, 2016·The Journal of Urology·Jaimin R BhattAntonio Finelli
Oct 22, 2016·The Journal of Urology·Jung Jae ParkHan Yong Choi
Mar 14, 2017·The Journal of Urology·Ivo G SchootsPaul C M S Verhagen
Apr 1, 2017·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Patrick O RichardAntonio Finelli
May 10, 2017·The Journal of Urology·Steven CampbellPhilip M Pierorazio
Sep 25, 2017·The Journal of Urology·Thenappan ChandrasekarAntonio Finelli
Citations
Sep 10, 2018·The Journal of Urology·Adam C Reese
Nov 18, 2018·Bladder Cancer·Jean V JosephDonald Trump
Jun 19, 2019·Radiology·Stuart G SilvermanMatthew S Davenport
Oct 4, 2020·Journal of Magnetic Resonance Imaging : JMRI·Satheesh KrishnaMatthew S Davenport
Jan 14, 2021·Medicina·Carlos NicolauCarmen Sebastia
Mar 23, 2021·Journal of X-ray Science and Technology·Xisheng WangYuanyuan Zhang
Apr 17, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Nicola SchiedaStuart G Silverman
Jul 6, 2021·Urology·Nityam RathiChristopher G Przybycin
Nov 24, 2021·Radiology·Nicola SchiedaStuart G Silverman