To determine the average growth rate of cysts and validate the safety of active surveillance. Consecutive patients referred for management of complex cysts (>= Bosniak 2F) were included. In contrast, Bosniak 3 cysts with enhancing thickened nodules (3n) are more similar to Bosniak 4 lesions; they are more likely to progress to Bosniak 4 on subsequent imaging studies and more likely to be malignant when resected (100% of 3n vs 41% of 3s). The authors conclude that septated cysts (2F and 3s) should be surveilled at 1, 3, and 5 years.
Our data suggests that it is safe to discharge patients with stable cysts after 2 years of surveillance. Adhering to follow-up protocols can alleviate pressure on radiology and urology services. To our knowledge, however, no studies have examined the natural history, including migration of Bosniak categories, of small (< 4 cm) Bosniak category 2F, 3, and 4 lesions during active surveillance. Our institution (NYU Langone Health) has a longstanding active surveillance program for these patients that has allowed long-term study. cm) Bosniak category 2F, 3, and 4 lesions that regress during active surveillance. MATERIALS AND METHODS. In this retrospective study, a hospital database was searched from January 1, 2005, through September 9, 2017, for small (< 4 cm) Bosniak cate-gory 2F, 3, and 4 lesions studied with initial and follow-up unenhanced and contrast-enhanced The aim of this study was to investigate the surveillance and clinical outcome of Bosniak IIF renal cysts.
The Bosniak 2F category allows for non-invasive monitoring of complex renal cystic lesions. The authors conclude that septated cysts (2F and 3s) should be surveilled at 1, 3, and 5 years.
Based on our surveillance strategy of Bosniak IIF masses, we recommend computed tomography (CT)/magnetic resonance imaging (MRI) every 2 years after the initial examination. We also recommend performing one MRI (as an adjunct to CT) during the early follow-up period (<4 years). The Bosniak classification is a time-proven method for the imaging classification and management of these lesions. Knowledge of the pathognomonic features of certain benign Bosniak 2F/3 lesions is important to avoid surgery on these lesions (e.g., localized cystic disease, renal abscess). Israel GM, Bosniak MA. Follow-up CT of moderately complex cystic lesions of the kidney (Bosniak category IIF). AJR Am J Roentgenol 2003; 181:627. Smith AD, Remer EM, Cox KL, et al.
Bosniak 2F; Kyste dont l'aspect, s'il n'est pas franchement suspect, ne permet pas de rassurer complètement. Le F signifie Follow-Up (Surveillance en anglais). Bosniak 3 (Kyste suspect) Les anomalies sont plus franches. Les cloisons ou la paroi sont plus épaisses, peuvent prendre un peu le contraste.
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Kang SK(1), Turan EA, Eisenberg JD, Lee PA, Kong CY, Pandharipande PV. Author information: (1)1 Department of Radiology, NYU Langone Medical Center, 550 First Ave, New York, NY 10016. Bosniak III cysts the risk for malignancy is approximately 50 %.
2013-03-26 · Surveillance images of Bosniak IIF were reviewed to determine radiological progression and clinical outcomes. Results: Forty patients with 42 category IIF cysts were included in our study (median age 68 years (range 38–88 years), median follow-up of 29 months (range 5–77 months)).
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Although there have been long-term surveillance studies of Bosniak category 2F lesions [26], to our knowledge ours is the largest single-institution study of active surveillance of confirmed (by The growth rate of 3n and 2F cysts was 0.19 and 0.11 cm per year (p = 0.0493 and 0.0327, respectively). Locally advanced or metastatic disease did not develop in any patient. Conclusions: A diagnostic change in Bosniak 3s and 2F cysts is common and Bosniak 3n cysts behave more like Bosniak 4 cysts. 2013-03-26 · Surveillance images of Bosniak IIF were reviewed to determine radiological progression and clinical outcomes. Results: Forty patients with 42 category IIF cysts were included in our study (median age 68 years (range 38–88 years), median follow-up of 29 months (range 5–77 months)). To better characterize the frequency of Bosniak cyst class changes and identify predictors of change and progression. To determine the average growth rate of cysts and validate the safety of active surveillance.
The classification system puts renal (kidney) cysts into five categories, depending on the findings on CT. Besides Bosniak 2F, the other four include: Bosniak 1, Bosniak 2, Bosniak 3, and Bosniak 4. Keywords: Bosniak 2F type of kidney cysts; Bosniak 2F; Bosniak 2F type of renal cysts. * The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Diagnostic change among Bosniak 3s and 2f cysts is common; Bosniak 3n cysts behave more like Bosniak 4s. Most complex kidney cysts can be safely monitored without intervention, diagnostic change is frequent, and interval imaging between studies should be increased. Presented by: Deepak Pruthi, MD, San Antonio, TX, USA Bosniak IIF renal cysts, the American College of Radiology (ACR) recommended that CT or MRI exams, should be conducted without IV contrast at 6-12 months, following diagnosis for a period of five years. The aim of imaging surveillance is to detect Bosniak IIF renal cysts that progress to higher class lesions, because higher reclassification is Radiological progression of Bosniak IIF cysts is low and progression to malignancy lower still, typically occurring within 24 months of diagnosis. Our data suggested that ceasing radiological follow-up surveillance after a minimum of two years of stable surveillance could be considered. To determine percentage of Bosniak category 2F complex cystic renal masses that progress to malignancy based on serial follow-up studies,and to determine if there are demographic and/or imaging features associated with progression. Blue curves indicate Bosniak 2f.