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Updated: Feb 15, 2026

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In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
Published on: March 30, 2015
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Cystic renal masses: An imaging update
1Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue A21, Cleveland, OH 44195, USA.
European Journal of Radiology
|January 25, 2018
Summary
Management of cystic renal masses is evolving. Radiologists can now better stratify malignancy risk, leading to less aggressive treatment for indolent tumors.
Area of Science:
- Urology
- Radiology
- Oncology
Background:
- Management of incidental renal masses is changing.
- Cystic renal tumors are often indolent, prompting less aggressive interventions.
- Accurate risk stratification by radiologists is crucial for patient care.
Purpose of the Study:
- To review pathologies presenting as cystic renal masses.
- To outline methods for stratifying malignancy risk in these masses.
Main Methods:
- Review of current literature on cystic renal masses.
- Analysis of radiologic features for risk stratification.
- Discussion of diagnostic and management strategies.
Main Results:
- Cystic renal tumors frequently exhibit indolent behavior.
- Radiologic assessment can identify specific diagnoses and stratify malignancy risk.
- Less invasive management is increasingly favored for low-risk lesions.
Conclusions:
- Radiologists play a key role in managing cystic renal masses.
- Accurate risk stratification guides treatment decisions, avoiding overtreatment.
- Understanding tumor behavior is essential for optimal patient outcomes.
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