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A Classification of Renal Cysts

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The Cystic Kidney

Part of the book series: Developments in Nephrology ((DINE,volume 27))

Abstract

Renal cystic diseases are a mixed lot, comprising heritable, developmental and acquired disorders. This classification has been developed, as have several others in the past, to incorporate radiographic, functional and genetic information, and to provide a basis for clinicopathologic correlations. Its major categories are as follows: (1) polycystic kidney diseases, autosomal recessive and autosomal dominant; (2) renal cysts in hereditary syndromes, including tuberous sclerosis, orofaciodigital syndrome and von Hippel-Lin- dau disease; (3) glomerulocystic kidney disease, a descriptive category of considerable heterogeneity; (4) localized segmental and unilateral renal cysts, and solitary and simple renal cysts; (5) acquired cystic disease, usually resulting in end-stage kidneys; (6) medullary cysts, occurring both as medullary sponge kidney and as an accompaniment of hereditary tubulointerstitial nephritis; (7) renal dysplasia, including multicystic dysplasia and diffuse cystic dysplasia; and (8) extraparenchymal cysts. This classification has remained essentially unchanged for more than a decade and has served its purposes satisfactorily.

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References

  1. Avni EF, Thoua Y, Lalmand B, Didier F, Droulle P and Schulman CC. Multicystic dysplastic kidney: Evolving concepts. In utero diagnosis and post-natal follow-up by ultrasound. Annals of Radiology (Paris) 1986, 29, 663 – 668.

    CAS  Google Scholar 

  2. Bartman I and Barraclough G. Cystic dysplasia of the kidneys studied by microdissection in a case of 13–15 trisomy. Journal of Pathology 1965, 89, 233 – 238.

    Article  CAS  Google Scholar 

  3. Bernstein J. A classification of renal cysts. In: Gardner KD Jr, ed., Cystic Diseases of the Kidney. New York: John Wiley & Sons Publishers, 1976, 7 – 30.

    Google Scholar 

  4. Bernstein J. Developmental abnormalities of the renal parenchyma: Renal hypoplasia and dysplasia. In: Sommers SC, ed., Pathology Annual 1968. New York: Appleton Century Crofts Publishers, 1968, 213 – 247.

    Google Scholar 

  5. Bernstein J. Hepatic and renal involvement in malformation syndromes. Mount Sinai Journal of Medicine 1986, 53, 421 – 428.

    PubMed  CAS  Google Scholar 

  6. Bernstein J. Hepatic involvement in hereditary renal syndromes. In: Bergsma D, ed., Birth Defects: Original Article Series. New York: March of Dimes Birth Defects Foundation Publishers, 1987, 23, 115–130.

    Google Scholar 

  7. Bernstein J. Heritable cystic disorders of the kidney: The mythology of polycystic disease. Pediatric Clinics of North America 1971, 18, 435 – 444.

    CAS  Google Scholar 

  8. Bernstein J. The classification of renal cysts. Nephron 1973, 11, 91 – 100.

    Article  PubMed  CAS  Google Scholar 

  9. Bernstein J, Brough AJ and McAdams AJ. The renal lesion in syndromes of multiple congenital malformations: cerebrohepatorenal syndrome; Jeune asphyxiating thoracic dystrophy; tuberous sclerosis; Meckel syndrome. In: Bergsma D, ed., The Fifth Conference on the Clinical Delineation of Birth Defects. Birth Defects: Original Article Series. Baltimore: Williams & Wilkins Publishers, 1945, X/4, 35–43.

    Google Scholar 

  10. Bernstein J, Evan AP and Gardner KD Jr. Epithelial hyperplasia in polycystic kidney diseases. Its role in pathogenesis and risk of neoplasia. American Journal of Pathology 1987, 129, 92 – 101.

    PubMed  CAS  Google Scholar 

  11. Bernstein J and Gardner KD Jr. Hereditary tubulo-interstitial nephropathies. Chap. 12. In: Cotran RS, Brenner BM and Stein JH, eds, Contemporary Issues in Nephrology. New York: Churchill Livingstone Publishers, 1983, 335 – 357.

    Google Scholar 

  12. Bernstein J and Meyer R. Parenchymal maldevelopment of the kidney. Chap. 26. In: Kelley VC, ed., Brennemann’s Practice of Pediatrics, Vol. 3. Hagerstown, MD: Harper & Row Publishers, 1967, 1 – 30.

    Google Scholar 

  13. Bernstein J, Robbins TO and Kissane JM. The renal lesions of tuberous sclerosis. Seminars in Diagnostic Pathology 1986, 3, 97 – 105.

    PubMed  CAS  Google Scholar 

  14. Bernstein J, Stickler GB and Neel IV. Congenital hepatic fibrosis. Evolving morphology. APMIS 1988 Suppl. 4, 96, 17 – 26.

    CAS  Google Scholar 

  15. Blyth H and Ockenden BG. Polycystic disease of kidneys and liver presenting in child¬hood. Journal of Medical Genetics 1971, 8, 257 – 284.

    Article  PubMed  CAS  Google Scholar 

  16. Bretan PN Jr, Busch MP, Hricak H and Williams RD. Chronic renal failure: A significant risk factor in the development of acquired renal cysts and renal cell carcinoma. Case reports and reviews of the literature. Cancer 1986, 57, 1871 – 1879.

    Article  PubMed  Google Scholar 

  17. Caroli J, Couinaud C, Soupault R, Porcher R and Etévé J. Une affection nouvelle, sans doute congénitale, des voies biliaires. La dilatation kystique unilobaire des canaux hépatiques. Semaine des Hopitaux de Paris 1958, 34, 496 – 502.

    PubMed  CAS  Google Scholar 

  18. Carson RW, Bedi D, Cavallo T and DuBose TD Jr. Familial adult glomerulocystic kidney disease. American Journal of Kidney Diseases 1987, 9, 154 – 165.

    PubMed  CAS  Google Scholar 

  19. Chilton SJ and Cremin BJ. The spectrum of polycystic disease in children. Pediatric Radiology 1981, 11, 9 – 15.

    Article  PubMed  CAS  Google Scholar 

  20. Cho KJ, Thornbury JR, Bernstein J, Heidelberger KP and Walter JF. Localized cystic disease of the kidney: Angiographic-pathologic correlation. American Journal of Roentgenology 1979, 132, 891 – S95.

    PubMed  CAS  Google Scholar 

  21. Churg J, Bernstein J, Risdon RA and Sobin LH, eds, Renal Disease: Classification and Atlas. Part II. Developmental and hereditary diseases. New York: Igaku-Shoin Publishers, 1987, 115 – 263.

    Google Scholar 

  22. Dalgaard OZ. Bilateral polycystic disease of the kidneys: A follow-up study of 284 patients and their families. Acta Medica Scandinavica 1957, 158, (Suppl 328), 1 – 255.

    Google Scholar 

  23. Donaldson MDC, Warner AA, Trompeter RS, Haycock GB and Chantler C. Familial juvenile nephronophthisis, Jeune’s syndrome, and associated disorders. Archives of Diseases in Childhood 1985, 60, 426 – 434.

    Article  CAS  Google Scholar 

  24. Dunnill MS, Millard PR and Oliver D. Acquired cystic disease of the kidneys: A hazard of long-term intermittent maintenance hemodialysis. Journal of Clinical Pathology 1977, 30, 868 – 877.

    Article  PubMed  CAS  Google Scholar 

  25. Elias H. Three dimensional structure identified from single sections. Science 1971, 174, 993 – 1000.

    Article  PubMed  CAS  Google Scholar 

  26. Elkin M and Bernstein J. Cystic diseases of the kidney. Radiological and pathological considerations. Clinical Radiology 1969, 20, 65 – 82.

    Article  PubMed  CAS  Google Scholar 

  27. Frimodt-Møller P, Nissen HM and Dyreborg U. Polycystic kidneys as the renal lesion in Lindau’s diseases. Journal of Urology 1981, 125, 868 – 870.

    PubMed  Google Scholar 

  28. Gang DL and Herrin JT. Infantile polycystic disease of the liver and kidneys. Clinical Nephrology 1986, 25, 28 – 36.

    PubMed  CAS  Google Scholar 

  29. Gardner KD Jr. Juvenile nephronophthisis and renal medullary cystic disease. In: Gardner KD Jr, ed., Cystic Diseases of the Kidney. New York: John Wiley & Sons Publishers, 1976, 173 – 185.

    Google Scholar 

  30. Gardner KD Jr and Evan AP. Cystic kidneys: An enigma evolves. American Journal of Kidney Diseases 1984, 3, 403 – 413.

    PubMed  Google Scholar 

  31. Gehrig JJ Jr, Gottheiner TI and Swenson RS. Acquired cystic disease of the end-stage kidney. American Journal of Medicine 1985, 79, 609 – 620.

    Article  PubMed  Google Scholar 

  32. Gleason DG, McAlister WH and Kissane J. Cystic diseases of the kidney in children. American Journal of Roentgenology 1967, 100, 135 – 146.

    CAS  Google Scholar 

  33. Goldstein JL and Fialkow PJ. The Alström syndrome: Report of three cases with further delineation of the clinical, pathophysiological, and genetic aspects of the disorder. Medicine 1973, 52, 53 – 71.

    Article  PubMed  CAS  Google Scholar 

  34. Hashimoto BE, Filly RA and Callen PW. Multicystic dysplastic kidney in utero: Changing appearance on US. Radiology 1986, 159, 107 – 109.

    PubMed  CAS  Google Scholar 

  35. Heggö O and Natvig JB. Cystic disease of the kidneys. Autopsy report and family study. Acta Pathologica Microbiologica Scandinavica 1965, 61, 459 – 469.

    Google Scholar 

  36. Helczynski L, Wells TR, Landing BH and Lipsey AI. The renal lesion of congenital hepatic fibrosis: Pathologic and morphometric analysis, with comparison to the renal lesion of infantile polycystic disease. Pediatric Pathology 1984, 2, 441 – 445.

    Article  PubMed  CAS  Google Scholar 

  37. Herdman RC and Langer LO. The thoracic asphyxiant dystrophy and renal disease. American Journal of Diseases in Childhood 1968, 116, 192 – 201.

    CAS  Google Scholar 

  38. Hughson MD, Buchwald D and Fox M. Renal neoplasia and acquired cystic kidney disease in patients receiving long-term dialysis. Archives of Pathology and Laboratory Medicine 1986, 110, 592 – 601.

    PubMed  CAS  Google Scholar 

  39. Hutchins KR, Mulholland SG and Edson M. Segmental polycystic disase. New York State Journal of Medicine 1972, 72, 1850 – 1852.

    PubMed  CAS  Google Scholar 

  40. Jørgensen M. The ductal plate malformation. Acta Pathologica Microbiologica Immunologica Scandinavica [A] 1977, Suppl 257, 1 – 88.

    Google Scholar 

  41. Joshi VV and Kasznica J. Clinicopathologic spectrum of glomerulocystic kidneys. Report of two cases and a brief review of literature. Pediatric Pathology 1984, 2, 171 – 186.

    Article  PubMed  CAS  Google Scholar 

  42. Kaplan BS, Kaplan P, de Chadarevian J-P, Jequier S, O’Regan S and Russo P. Variable expression of autosomal recessive polycystic kidney disease and congenital hepatic fibrosis within a family. American Journal of Medical Genetics 1988, 29, 639 – 647.

    Article  PubMed  CAS  Google Scholar 

  43. Kaplan BS, Rabin I, Nogrady MB and Drummond KN. Autosomal dominant polycystic renal disease in children. Journal of Pediatrics 1977, 90, 782 – 783.

    Article  PubMed  CAS  Google Scholar 

  44. Kleiner B, Filly RA, Mack L and Callen PW. Multicystic dysplastic kidney: Observations of contralateral disease in the fetal population. Radiology 1986, 161, 27 – 29.

    PubMed  CAS  Google Scholar 

  45. Kossow AS and Meek JM. Unilateral adult polycystic kidney disease. Journal of Urology 1982, 127, 297 – 300.

    PubMed  CAS  Google Scholar 

  46. Kuiper JJ. Medullary sponge kidney. In: Gardner KD Jr, ed., Cystic Diseases of the Kidney. New York: John Wiley & Sons Publishers 1976, 151 – 171.

    Google Scholar 

  47. Landing BH, Wells TR and Claireaux AE. Morphometric analysis of the liver lesions in cystic diseases of childhood. Human Pathology 1980, 11, 549 – 560.

    PubMed  CAS  Google Scholar 

  48. Landing BH, Wells TR, Reed GB and Narayan MS. Diseases of the bile ducts in children. In: Gall EA and Mostofi FK, eds, The Liver, Chap. 22. Baltimore: Williams & Wilkins Publishers 1973, 480 – 509.

    Google Scholar 

  49. Langer LO Jr, Nishino R, Yamaguchi A, Ito Y, Ueke T, Togari H, Kato T, Opitz JM and Gilbert EG. Brachymesomelia-renal syndrome. American Journal of Medical Genetics 1983, 15, 57 – 65.

    Article  PubMed  Google Scholar 

  50. Lee JKT, McClennan BL and Kissane JM. Unilateral polycystic kidney disease. American Journal of Roentgenology 1978, 130, 1165 – 1167.

    PubMed  CAS  Google Scholar 

  51. Lieberman E, Salinas-Madrigal L, Gwinn JL, Brennan LP, Fine RN and Landing BH. Infantile polycystic disease of the kidneys and liver: Clinical pathological and radiological correlations and comparison with congenital hepatic fibrosis. Medicine 1971, 50, 277 – 318.

    Article  PubMed  CAS  Google Scholar 

  52. Melnick SC, Brewer DB and Oldham JS. Cortical microcystic disease of the kidney with dominant inheritance: A previously undescribed syndrome. Journal of Clinical Pathology 1984, 37, 494 – 499.

    Article  PubMed  CAS  Google Scholar 

  53. Mitnick JS, Bosniak MA, Hilton S, Raghavendra BN, Subramanyam B and Genieser NB. Cystic renal disease in tuberous sclerosis. Radiology 1983, 147, 85 – 87.

    PubMed  CAS  Google Scholar 

  54. Mottet NK and Jensen H. The anomalous embryonic development associated with trisomy 13–15. American Journal of Clinical Pathology 1965, 43, 334 – 347.

    PubMed  CAS  Google Scholar 

  55. Okada RD, Platt MA and Fleishman J. Chronic renal failure in patients with tuberous sclerosis: Association with renal cysts. Nephron 1982, 30, 85 – 88.

    Article  PubMed  CAS  Google Scholar 

  56. Passarge E and McAdams AJ. Cerebro-hepato-renal syndrome: A newly recognized hereditary disorder of multiple congenital defects, including sudanophilic leukodystrophy, cirrhosis of the liver, and polycystic kidneys. Journal of Pediatrics 1967, 71, 691 – 702.

    Article  PubMed  CAS  Google Scholar 

  57. Pedicelli G, Jequier S, Bowen A’D and Boisvert J. Multicystic dysplastic kidneys: Spon¬taneous regression demonstrated with US. Radiology 1986, 160, 23 – 26.

    Google Scholar 

  58. Potter EL, ed., Normal and Abnormal Development of the Kidney. Chicago: Year Book Publishers, 1972.

    Google Scholar 

  59. Poznanski AK, Nosanchuk JS, Baublis J and Holt JF. The cerebro-hepato-renal syn¬drome (CHRS); (Zellweger’s syndrome). American Journal of Roentgenology 1970, 109, 313 – 322.

    CAS  Google Scholar 

  60. Reeders ST, Breuning MH, Corney G, Jeremiah SJ, Meera Khan P, Davies KE, Hopkinson DA, Pearson PL and Weatherall DJ. Two genetic markers closely linked to adult polycystic kidney disease on chromosome 16. British Medical Journal 1986, 292, 851 – 853.

    Article  PubMed  CAS  Google Scholar 

  61. Reeders ST, Breuning MH, Davies KE, Nicholls ED, Jarman AP, Higgs DR, Pearson PL and Weatherall DJ. A highly polymorphic DNA marker linked to adult polycystic kidney disease on chromosome 16. Nature 1985, 317, 542 – 544.

    Article  PubMed  CAS  Google Scholar 

  62. Reeders ST, Zerres K, Gal A, Hogenkamp T, Propping P, Schmidt W, Waldherr R, Dolata MM, Davies KE and Weatherall DJ. Prenatal diagnosis of autosomal dominant polycystic kidney disease with a DNA probe. Lancet 1986, 2, 6 – 8.

    Article  PubMed  CAS  Google Scholar 

  63. Rizzoni G, Loriat C, Levy M, Milanesi C, Zachello G and Mathieu H. Familial hypoplastic glomerulocystic kidney. A new entity? Clinical Nephrology 1982, 18, 263 – 268.

    CAS  Google Scholar 

  64. Rolfes DB, Towbin R and Bove KE. Vascular dysplasia in a child with tuberous sclerosis. Pediatric Pathology 1985, 3, 359 – 373.

    Article  PubMed  CAS  Google Scholar 

  65. Romeo G, Devoto M, Costa G, Roncuzzi L, Catizone L, Zucchelli P, Germino GG, Keith T, Weatherall DJ and Reeders ST. A second genetic locus for autosomal dominant polycystic kidney disease. Lancet 1988, 2, 8 – 11.

    Article  PubMed  CAS  Google Scholar 

  66. Sedman A, Bell P, Manco-Johnson M, Schrier R, Warady BA, Heard EO, Butler-Simon N and Gabow P. Autosomal dominant polycystic kidney disease in childhood: A longitudinal study. Kidney International 1987, 31, 1000 – 1005.

    Article  PubMed  CAS  Google Scholar 

  67. Senior B. Familial renal-retinal dystrophy. American Journal of Diseases in Children 1973, 125, 442 – 447.

    CAS  Google Scholar 

  68. Smith DW, Opitz JM and Inhorn SL. A syndrome of multiple developmental defects including polycystic kidneys and intrahepatic biliary dysgenesis in two siblings. Journal of Pediatrics 1965, 67, 617 – 624.

    Article  PubMed  CAS  Google Scholar 

  69. Spence HM and Singleton R. Cysts and cystic disorders of the kidney: Types, diagnosis, treatment. Urological Survey 1972, 22, 131 – 158.

    Google Scholar 

  70. Squiers EC, Morden RS and Bernstein J. Renal multicystic dysplasia. An occasional manifestation of the hereditary renal adysplasia syndrome. American Journal of Medical Genetics 1987, Suppl 3, 279 – 284.

    CAS  Google Scholar 

  71. Stapleton FB, Bernstein J, Koh G, Roy S, III and Wilroy RS. Cystic kidneys in a patient with oral-facial-digital syndrome type I. American Journal of Kidney Diseases 1982, 1, 288 – 293.

    PubMed  CAS  Google Scholar 

  72. Stapleton FB, Johnson D, Kaplan GW and Griswold W. The cystic renal lesion in tuberous sclerosis. Journal of Pediatrics 1980, 97, 574 – 579.

    Article  PubMed  CAS  Google Scholar 

  73. Stillwell TJ, Gomez MR and Kelalis PP. Renal lesions in tuberous sclerosis. Journal of Urology 1987, 138, 477 – 481.

    PubMed  CAS  Google Scholar 

  74. Taitz LS, Brown CB, Blank CE and Steiner GM. Screening for polycystic kidney disease: Importance of clinical presentation in the newborn. Archives of Diseases in Childhood 1987, 62, 45 – 49.

    Article  CAS  Google Scholar 

  75. Taxy JB and Filmer RB. Glomerulocystic kidney. Report of a case. Archives of Pathology and Laboratory Medicine 1976, 100, 186 – 188.

    PubMed  CAS  Google Scholar 

  76. Tieder M, Levy M, Gubler MC, Gagnadoux MF and Broyer M. Renal abnormalities in the Bardet-Biedl syndrome. International Journal of Pediatric Nephrology 1982, 3, 199 – 203.

    PubMed  CAS  Google Scholar 

  77. Waldherr R, Lennert T, Weber H-P, Födish HJ and Schärer K. The nephronophthisis complex. A clinicopathologic study in children. Virchows Archiv [Pathol Anat] 1982, 394, 235 – 254.

    Article  CAS  Google Scholar 

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Bernstein, J. (1990). A Classification of Renal Cysts. In: Gardner, K.D., Bernstein, J. (eds) The Cystic Kidney. Developments in Nephrology, vol 27. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0457-6_7

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  • DOI: https://doi.org/10.1007/978-94-009-0457-6_7

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