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[Cystic renal cancers. 14 case reports].
D Rossi1, E Ghazarossian, C Coulange
1Service d'Urologie, Hôtel-Dieu, Marseille, France.
Summary
Diagnosing cystic renal cancers presents challenges. Computed tomography (CT) is crucial for accuracy, and suspicious cysts warrant surgical exploration with frozen section examination for reliable intraoperative diagnosis.
Area of Science:
- Urologic oncology
- Diagnostic imaging in nephrology
Context:
- Cystic renal cancers pose diagnostic challenges.
- Distinguishing from complicated benign cysts requires caution.
Purpose:
- To review diagnostic difficulties and management strategies for cystic renal cancers.
- To emphasize the role of computed tomography (CT) and intraoperative frozen section examination.
Summary:
- Presents 14 cases of cystic renal cancers.
- Computed tomography (CT) is the most accurate diagnostic tool.
- Suspicious cysts necessitate surgical exploration and frozen section analysis for definitive intraoperative diagnosis.
- Polar nephrectomy with frozen section is recommended for suspicious cysts.
- Radical nephrectomy remains the standard curative treatment.
Impact:
- Highlights the importance of advanced imaging (CT) for accurate diagnosis.
- Recommends specific intraoperative procedures for managing diagnostic uncertainty.
- Aids clinicians in making informed decisions for patients with cystic renal masses.