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I Have Bosnian Type 1 Kidney Cyst: Is It A Big Problem

2014-12-05 01:48

I Have Bosnian Type 1 Kidney Cyst: Is It A Big ProblemA kidney cyst is a fluid-filled sac. A system to grade kidney cyst by their appearance on CT scan has been developed, which is help doctors to predict which complex kidney cysts are more likely to have kidney cancer inside. This system is known as the Bosniak classification. Is it a big problem if you have Bosnian Type 1 kidney cyst?

Get facts on Bosniak classification

● Bosniak 1

simple cyst, imperceptible wall, rounded

work-up: nil

percentage malignant: ~0%

● Bosniak 2

minimally complex, a few thin (<1 mm) septa, thin calcifications; non-enhancing high-attenuation (due to to proteinaceous or haemorrhagic fluid) renal lesions of less than 3 cm are also included in this category; these lesions are generally well marginated

work-up: nil

percentage malignant: ~0%

● Bosniak 2F

minimally complex but requiring follow up

increased number of septa, minimally thickened or enhancing septa or wall

thick calcifications

hyperdense cyst, i.e.:

>3 cm diameter, mostly intrarenal (less than 25% of wall visible); no enhancement

work-up: needs ultrasound/CT follow up - no strict rules on time frame but could do at around 6 months.

percentage malignant: ~25%

● Bosniak 3

indeterminate, thick or multiple septations, mural nodule, hyperdense on CT (see 2F)

treatment/work-up: partial nephrectomy or radiofrequency ablation in elderly or poor surgical candidates

percentage malignant: ~54%

● Bosniak 4

clearly malignant, solid mass with large cystic or necrotic component

treatment: partial or total nephrectomy

percentage malignant: ~100%

How can I manage Bosnian Type 1 kidney cyst

You can see your problem is not so serious. Yet, it does not mean you can totally ignore it. Since the kidney cyst will grow with ages, it can become very large and start to cause some symptoms. Therefore, you should take some measures to prevent it from becoming malignant. If you need help, please be free to contact us.

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