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Clinicopathological characteristics and typing of multilocular cystic renal neoplasm of low malignant potential

World Journal of Clinical Cases 2024年第14期12卷 2332-2341页

作者： Wen-Long Gao Gang Li Dong-Sheng Zhu Yuan-Jie Niu Department of Urology The Second Hospital of Tianjin Medical UniversityTianjin 300211China Department of Pediatric Surgery The First People’s Hospital of LianyungangLianyungang 222000Jiangsu ProvinceChina

BACKGROUND Up until now,no research has been reported on the association between the cli-nical growth rate of multilocular cystic renal neoplasm of low malignant potential(MCRNLMP)and computed tomography(CT)imaging *** study sought to examine the correlation between them,with the objective of distin-guishing unique features of MCRNLMP from renal cysts and exploring effective management *** To investigate optimal management strategies of *** We retrospectively collected and analyzed data from 1520 patients,comprising 1444 with renal cysts and 76 with MCRNLMP,who underwent renal cyst decom-pression,radical nephrectomy,or nephron-sparing surgery for renal cystic disease between January 2013 and December 2021 at our *** of MC-RNLMP utilized the Bosniak classification for imaging and the 2016 World Health Organization criteria for clinical *** Our meticulous exploration has revealed compelling findings on the occurrence of ***,it comprises 1.48%of all cases involving simple renal cysts,5.26%of those with complex renal cysts,and a noteworthy 12.11%of renal tumors coexisting with renal cysts,indicating a statistically significant difference(P=0.001).Moreover,MCRNLMP constituted a significant 22.37%of the patient po-pulation whose cysts demonstrated a rapid growth rate of≥2.0 cm/year,whereas it only represented 0.66%among those with a growth rate below 2.0 cm/*** the 76 MCRNLMP cases studied,none of the nine patients who underwent subsequent nephron-sparing surgery or radical nephrectomy following renal cyst decompression experienced recurrence or *** the remaining 67 patients,who were actively monitored over a 3-year postoperative period,only one showed suspicious recurrence on CT *** MCRNLMP can be tentatively identified and categorized into three types based on CT scanning and growth rate *** treating MCRNLMP,partial nephrectomy is preferred,while rad

关键词： renal cysts multilocular cystic renal neoplasm of low malignant potential Computed tomography Diagnosis Treatment

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