Assessment of Incidentally Detected Simple Renal Cyst in Pediatric Patient Based on the Modified Bosniak Classification —Incidentally Detected Simple Renal Cyst in Pediatric

Kashgari, Amna; Ajlan, Eman; Hammad, Abdullah Al; Jamil, Syed Furrukh

doi:10.4236/ojped.2020.102036

Cited by 1 publication

(3 citation statements)

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“…It was found that both modalities provided a highly accurate diagnosis for malignant renal cystic masses in children using the Bosniak classification system; however, the assessment of benign masses still needs improvement [ 21 ]. Another study assessed the incidentally detected renal cysts in children based on a modified Bosniak classification and found that this modified classification system could safely be used in the monitoring and management of incidentally detected simple renal cysts (categories I and II) in pediatric patients [ 16 ]. Another study was conducted to evaluate the correlations of the modified Bosniak categories assigned by radiologists to histological findings and inter-rater reliability with a focus on intermediate-risk lesions revealed that the implementation of the modified Bosniak classification in children caused a disconcerting underestimation of intermediate risk.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study by Kashgrai et al revealed that the modified Bosniak classification could be safely used in monitoring and the management of incidentally detected simple renal cysts of class I and II in children [ 16 ]. However, the previous study did not compare CT and US, as in our study.…”

Section: Discussionmentioning

confidence: 99%

“…However, it was suggested that this US-based modified Bosniak classification is reliable enough to classify renal cysts in children [ 14 , 15 ]. Modified Bosniak classification offers criteria to diagnose simple and complex renal cysts, which assist in the follow-up and management of pediatric patients [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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The Modified Bosniak Classification for Intermediate and High-Risk Renal Cysts

Alkhamis¹,

Al-Sasi²,

Alzahrani³

2023

Cureus

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BackgroundRenal cysts are uncommon among the pediatric population, and their transformation into malignant lesions is also uncommon. Early detection can prevent further complications and protect renal function. Bosniak classification is a computed tomography-based classification for renal cysts developed for adults. Children are more susceptible to CT radiation. Therefore, a modified Bosniak classification for children based on the ultrasound (US) can be used if it shows reliability and accuracy. AimTo apply the modified Bosniak classification system among children with renal cysts. MethodsThis was a retrospective study that was conducted on pediatric patients who underwent surgery for intermediate and high-risk complex renal cysts in Prince Sultan Military Medical City, Riyadh, Saudi Arabia using radiological information from 2009 to 2022. The collected data included demographics, medical history, radiological findings, and characteristics of renal cysts. SPSS Statistics v. 22 (IBM Corp., Armonk, NY) was used to analyze the data. ResultsThere were 40 children included in the study based on the US-modified Bosniak classification. Around 26.3% of patients had class I and 39.5% had class II renal cysts. Histopathology showed that 10% had Wilms tumor, and 15% had benign lesions. There were significant correlations between pathology findings and US findings (p=0.004), and CT findings (p=0.016). ConclusionThe modified Bosniak classification based on the US is sensitive, specific, and sufficiently accurate in the classification of renal cysts among children. Also, the size of the renal cysts can be a diagnostic marker of differentiation of benign and malignant cysts with high sensitivity and specificity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%