Abstract
Renal cystography in selected cases of large avascular space occupying lesions of the kidney is recommended as a useful aid in the definite differential diagnosis between renal cyst and tumor. It was performed in 31 patients. In 23 patients clear fluid was obtained, a smooth outline of the cyst wall was demonstrated and no exploration performed. Puncture was unsuccessful in four cases and four masses were diagnosed as tumors when bloody or cloudy fluid was aspirated. Follow-up showed decreased size in four and disappearence of the cysts in three of the punctured patients (one proven by autopsy). More frequent use of this easy procedure may prevent many unnecessary explorations of the kidney for renal cysts, especially in patients who are poor surgical risks.
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Ainsworth, W. L., Vest, S. A.: The differential diagnosis between renal tumors and cysts.J. Urol. 66, 740 (1951).
Bohne, A. W., Urwiller, R. D., Pantos, T.: Routine intravenous urograms prior to prostatectomy.J. Urol. 86, 171 (1961).
Brannan, W., Miller, W., Crisler, M.: Coexistence of renal neoplasmas and renal cysts.Southern Med. J., 55, 749 (1962).
Clarke, B. G., Boade, W. J., Jr., Rudy, H. L., Rockwood, L.: Differential diagnosis between cancer and solitary serous cyst of the kidney.J. Urol. 75, 922 (1956).
DeWeerd, J. H.: Percutaneous aspiration of selected expanding renal lesions.Trans. Amer. Ass. Genitourin. Surg. 53, 104 (1961).
Evans, a. T., Coughlin, J. P.: Urinary obstruction due to renal cysts.J. Urol. 103, 277 (1970)
Kaiser, T. F., Hodson, G. M., Seibel, R. E., Albee, R. D., Farrow, F. C., McMahon, J. J.: Evaluation of asymptomatic renal masses by selective renal angiography and percutaneous needle puncture: a preliminary report.J. Urol. 98, 436 (1967).
Khorsand, D.: Carcinoma within solitary cyst.J. Urol. 93, 440 (1965).
Lalli, A. F.: Percutaneous aspiration of renal masses.Amer. J. Roentgenol. 101, 700 (1967).
Lang, E. K.: The roentgenographic diagnosis of renal mass lesions. Ed. by Warren H. Green, St. Louis, Missouri, 1971.
Lang, E. K.: The differential diagnosis of renal cysts and tumor. Cyst puncture, aspiration, and analysis of cyst content for fat as diagnostic criteria for renal cysts.Radiology 87 457 (1966).
Lassen, H. K.: Geriatric practice, geriatric problems in surgery. A clinical review with a statistical survey of mortality rates as related to age.J. Geront. 17, 167 (1962).
Lindblom, K.: Diagnostic kidney punctures of cysts and tumors.Amer. J. Roentgenol. 68, 209 (1952).
Plaine, L. I., Hinman, F., Jr.: Malignancy in asymptomatic renal masses.J. Urol. 94, 342 (1965).
Prather, G. C.: Surgical treatment of serous cyst of kidneyJ. Urol. 72, 14 (1957).
Rehm, R. A., Taylor, W. N., Taylor, J. N.: Renal cyst associated with carcinoma.J. Urol. 86, 307 (1961).
Rubin, R.: Comment: National cooperative study.JAMA 204, 232 (1968).
Sommerkamp, H.: Nierenzysten: Diagnostik und Operationsbefunde.Urologe 9, 314 (1970).
Stapor, K., Brauner, G.: On the surgical treatment of solitary cysts of the kidney.Int. Urol. Nephrol., 2, 15 (1970).
Vestby, G.: Percutaneous puncture of renal cysts. A new method in therapeutic management.Invest. Radiol. 2, 449 (1967).
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Möhring, K., Madsen, P.O. Renal cystography. International Urology and Nephrology 3, 359–363 (1971). https://doi.org/10.1007/BF02082284
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DOI: https://doi.org/10.1007/BF02082284