Hemorrhagic Renal Cyst Research Articles

Usefulness of color Doppler flow imaging in differential diagnosis of multilocular cystic lesions of the kidney.

Color Doppler flow imaging was carried out in 10 multilocular cystic lesions of the kidney. These consisted of three renal cell carcinomas, three hemorrhagic renal cysts, one benign multilocular cystic nephroma, two infected renal cysts, and one benign multilocular renal cyst secondary to von Hippel-Lindau disease. In the patients with renal cell carcinoma, color signals were obtained at the septum and in the solid component within the lesions. A pulsatile wave with a large maximum flow velocity and a high PI value was obtained in two of them. In one of the patients with hemorrhagic renal cysts, color signals were obtained at the region of the septum. In the other benign lesions, however, color signals were obtained only at the peripheral margin, and the flow waveform in these cases was identical to the waveforms found in the interlobar arteries. This study suggested that color display in the lesion well reflects its vascularity in patients with multilocular cystic renal diseases and that measurement of the systolic maximum flow velocity by fast Fourier transform analysis is useful for the differential diagnosis of malignant versus benign lesions.

Shrinking and disappearing renal cysts.

This paper presents 4 patients with what were thought to be hemorrhagic renal cysts that disappeared on follow-up, and an additional patient with a large superficial simple cyst that became smaller on follow-up examination. In 1 patient only was this appearance associated with renal scarring. One patient had uremic-acquired cystic disease of the kidney. The reasons for the disappearance or shrinkage are unclear, but might include bleeding into the cyst or rupture of the cyst into the perirenal space or the collecting system.

The role of computed tomography in assessment of tumoral pathology of the adrenal glands.

The findings at computed tomography (CT) of the adrenal glands in 58 patients are presented. Most patients (50) were referred for suspected adrenal dysfunction. In three, adrenal masses were suspected from other radiological studies. Three patients had palpable abdominal masses, and incidental adrenal metastases were found in two. Pathological findings included pheochromocytomas (nine patients), adrenocortical adenomas (six), adrenocortical carcinomas (three), metastases (two), and one example each of myelolipoma, hemorrhagic renal cyst, and probable granuloma. Of 24 adrenal masses, 23 were clearly apparent in the scans and one was suspected. The smallest tumor diagnosed was 0.5 cm in diameter. There was on false positive diagnosis of a small tumor and no known false negatives. Because of their consistent location and unusual shape and because they are usually surrounded by retroperitoneal fat, the adrenal glands are ideal organs for study by CT, a highly accurate method for detecting and excluding mass lesions that may render arteriography and venography unnecessary. Surgery was performed in five patients with tumors following localization by CT only. Limitations and potential diagnostic pitfalls in interpretation are discussed.

The Bloody Renal Cyst Aspirate: A Diagnostic Dilemma

Recently, we saw 3 cases of cystic renal malignancy, which point to the pitfalls of relying solely on the results of nephrotomography, arteriography, ultrasound and cyst puncture in distinguishing benign from neoplastic hemorrhagic renal cysts. The risk of failure of accurate diagnosis by these modalities requires that surgical exploration be performed to conclusively determine the nature of these lesions.

Benign hemorrhagic renal cyst. Nephrotomography, renal arteriography, and cyst puncture.

Six cases of benign hemorrhagic renal cyst are presented. Although these masses resembled cysts on nephrotomography and arteriography, exclusion of malignant disease was difficult on cyst puncture and gross surgical inspection. The aspirated fluid contained degenerating hemorrhagic material in all cases, malignant cells in none, and fat in one. Contrast medium injected into the cyst showed the cavity to be irregular in three and smooth in three. A presumptive diagnosis is possible by a combination of tests. Diagnosis was confirmed by surgery in two patients and by autopsy in one. Nephrectomy can be avoided.

Large Solitary Hemorrhagic Renal Cyst with Review of the Literature: Report of a Case

No AccessJournal of Urology1 Feb 1931Large Solitary Hemorrhagic Renal Cyst with Review of the Literature: Report of a Case W. Calhoun Stirling W. Calhoun StirlingW. Calhoun Stirling More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)72838-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1931 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byPrather G (2018) Differential Diagnosis Between Renal Tumor andRenal CystJournal of Urology, VOL. 64, NO. 2, (193-199), Online publication date: 1-Aug-1950.Powell N (2018) Surgical Emergencies Caused by Simple or Solitary Renal CystJournal of Urology, VOL. 63, NO. 2, (203-207), Online publication date: 1-Feb-1950.Fister G (2018) Simple Serous Cysts of the KidneyJournal of Urology, VOL. 49, NO. 3, (408-414), Online publication date: 1-Mar-1943.Scholl A (2018) Hemorrhagic Cysts of the Kidney. With Report of a CaseJournal of Urology, VOL. 41, NO. 2, (103-110), Online publication date: 1-Feb-1939.Barney J (2018) Hemorrhagic Cyst of the KidneyJournal of Urology, VOL. 36, NO. 6, (602-608), Online publication date: 1-Dec-1936. Volume 25Issue 2February 1931Page: 213-222 Advertisement Copyright & Permissions© 1931 by The American Urological Association Education and Research, Inc.MetricsAuthor Information W. Calhoun Stirling More articles by this author Expand All Advertisement PDF downloadLoading ...