Rare Tumours of the Kidney - Cystic Tumours of the Kidney

Aim: To quantify the occurrence of cystic tumours of the kidney in a population of patients with tumour of the kidney. Other goals of this study were to compare results of imaging studies with the results of final histology, to evaluate malignity rate in each Bosniak group and to evaluate the options of surgical treatment of cystic tumours of the kidney. The emphasis was placed to determine the benefits of magnetic resonance imaging in the diagnostic algorithm of cystic tumours of the kidney. Material and methods: All patients, who underwent surgery for the tumour of the kidney or cystic lesion of the kidney at our department in the time period 2009-17 were evaluated and patients with radiologically described cystic lesion of the kidney were included in the cohort. Lesions were classified according to CT imaging in the Bosniak categories. The unclear findings were in clinical study consulted with the radiologist. In case of uncertainties, MRI was indicated. Histological classification of all neoplasias was done according to the WHO classification 2016. The cohort of cystic lesions (n=247) was stratified into two groups. Categories Bosniak I-IIF (n=115), which were treated surgically not for suspicion of the malignity, but because of the size, localisation, clinical manifestation or were solved...Cíl: Kvantifikovat výskyt cystických nádorů ledvin v celkové populaci pacientů s nádory ledvin, komparovat výsledky zobrazovacích vyšetření s definitivní histologií, zhodnotit frekvenci výskytu maligních lézí v jednotlivých kategoriích dle Bosniaka a zhodnotit možnosti operační léčby cystických renálních tumorů. Determinovat přínos využití magnetické rezonance v diagnostickém algoritmu cystických lézí ledvin. Materiál a metody: Byli vyhledáni a opětovně hodnoceni všichni pacienti léčení chirurgicky na Urologické klinice FN Plzeň pro renální tumor či cystickou lézi ledvin v letech 2009-17. Z celkového souboru byli vyčleněni pacienti s cystickou renální lézí (úvodně detekovanou radiologicky), u nichž byly následně standardizovaně přezkoumány výsledky zobrazovacích vyšetření a histologický nález. Ve standardním diagnosticko-léčebném algoritmu jsou léze radiologicky klasifikovány dle Bosniaka (na základě CT). U nejasných nálezů bylo v rámci klinické studie doplněno vyšetření MR. Všechny neoplásie byly při zpracování výsledků histologicky reklasifikovány dle recentní WHO klasifikace nádorů ledvin z roku 2016. Vlastní soubor cystických lézí (n=247) byl následně stratifikován do dvou podsouborů. Kategorie Bosniak I-IIF (n=115), které byly operačně řešeny nikoliv z důvodu podezření na přítomnost malignity,...Klinika urologickáLékařská fakulta v PlzniFaculty of Medicine in Pilse

Rare Tumours of the Kidney - Cystic Tumours of the Kidney

Aim: To quantify the occurrence of cystic tumours of the kidney in a population of patients with tumour of the kidney. Other goals of this study were to compare results of imaging studies with the results of final histology, to evaluate malignity rate in each Bosniak group and to evaluate the options of surgical treatment of cystic tumours of the kidney. The emphasis was placed to determine the benefits of magnetic resonance imaging in the diagnostic algorithm of cystic tumours of the kidney. Material and methods: All patients, who underwent surgery for the tumour of the kidney or cystic lesion of the kidney at our department in the time period 2009-17 were evaluated and patients with radiologically described cystic lesion of the kidney were included in the cohort. Lesions were classified according to CT imaging in the Bosniak categories. The unclear findings were in clinical study consulted with the radiologist. In case of uncertainties, MRI was indicated. Histological classification of all neoplasias was done according to the WHO classification 2016. The cohort of cystic lesions (n=247) was stratified into two groups. Categories Bosniak I-IIF (n=115), which were treated surgically not for suspicion of the malignity, but because of the size, localisation, clinical manifestation or were solved..

Rare Tumours of the Kidney - Cystic Tumours of the Kidney

Aim: To quantify the occurrence of cystic tumours of the kidney in a population of patients with tumour of the kidney. Other goals of this study were to compare results of imaging studies with the results of final histology, to evaluate malignity rate in each Bosniak group and to evaluate the options of surgical treatment of cystic tumours of the kidney. The emphasis was placed to determine the benefits of magnetic resonance imaging in the diagnostic algorithm of cystic tumours of the kidney. Material and methods: All patients, who underwent surgery for the tumour of the kidney or cystic lesion of the kidney at our department in the time period 2009-17 were evaluated and patients with radiologically described cystic lesion of the kidney were included in the cohort. Lesions were classified according to CT imaging in the Bosniak categories. The unclear findings were in clinical study consulted with the radiologist. In case of uncertainties, MRI was indicated. Histological classification of all neoplasias was done according to the WHO classification 2016. The cohort of cystic lesions (n=247) was stratified into two groups. Categories Bosniak I-IIF (n=115), which were treated surgically not for suspicion of the malignity, but because of the size, localisation, clinical manifestation or were solved..

Mapping European Association of Urology Guideline Practice Across Europe: An Audit of Androgen Deprivation Therapy Use Before Prostate Cancer Surgery in 6598 Cases in 187 Hospitals Across 31 European Countries

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