4.6 Editorial Material

A Comprehensive Commentary on the Multilocular Cystic Renal Neoplasm of Low Malignant Potential: A Urologist's Perspective

期刊

CANCERS
卷 14, 期 3, 页码 -

出版社

MDPI
DOI: 10.3390/cancers14030831

关键词

kidney; cystic tumor; imaging; magnetic resonance; surgery

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资金

  1. grant SVV-2020-2022 [260539]
  2. Charles University Research Fund [Progres Q39]
  3. Ministry of Health of the Czech Republic - Conceptual Development of Research Organization (Faculty Hospital in Pilsen) [FNPI 00669806]

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Multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) is a cystic renal tumor with a good prognosis. It is often found incidentally during examinations for other health issues, and its estimated incidence rate is between 1.5% and 4%. Various diagnostic tools can be used to identify this tumor, and management choices range from conservative approaches to surgery.
Simple Summary: Multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) is a cystic renal neoplasm with an excellent prognosis. This neoplasm was previously named as multilocular cystic renal cell carcinoma , which is now considered obsolete. In 2016, the WHO distinguished this neoplasm of low malignant potential from cystic renal cell carcinomas, which have some overlapping morphologic features.& nbsp;Multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) is a cystic renal tumor with indolent clinical behavior. In most of cases, it is an incidental finding during the examination of other health issues. The true incidence rate is estimated to be between 1.5% and 4% of all RCCs. These lesions are classified according to the Bosniak classification as Bosniak category III. There is a wide spectrum of diagnostic tools that can be utilized in the identification of this tumor, such as computed tomography (CT), magnetic resonance (MRI) or contrast-enhanced ultrasonography (CEUS). Management choices of these lesions range from conservative approaches, such as clinical follow-up, to surgery. Minimally invasive techniques (i.e., robotic surgery and laparoscopy) are preferred, with an emphasis on nephron sparing surgery, if clinically feasible.

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