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[A case of multilocular renal cyst]
O Miyake1, T Fukuoka, T Yoshioka
1Department of Urology, Faculty of Medicine, Osaka University.
Hinyokika Kiyo. Acta Urologica Japonica
|September 1, 1989
Summary
This case study presents a multilocular renal cyst diagnosed via computed tomography and confirmed by histology. Surgical enucleation was successful, highlighting effective preoperative diagnosis and operative procedures for this rare kidney condition.
Area of Science:
- Nephrology
- Urologic Oncology
- Radiology
Background:
- Multilocular renal cysts are rare cystic renal neoplasms.
- Differentiating them from cystic renal cell carcinoma preoperatively is crucial.
- This report details a specific case and reviews existing literature.
Observation:
- A 65-year-old female presented with a history of macroscopic hematuria.
- Computed tomography revealed a cystic renal mass with enhancing septa.
- The lesion was located in the anterior midportion of the left kidney.
Findings:
- Preoperative imaging suggested a multilocular renal cyst.
- Intraoperative frozen section confirmed the absence of malignancy.
- Histological diagnosis matched the clinical suspicion of a multilocular renal cyst.
Implications:
- Accurate preoperative diagnosis of multilocular renal cysts is achievable with advanced imaging.
- Enucleation is a viable surgical option when malignancy is excluded.
- Reviewing Japanese cases provides insights into diagnosis and surgical management.