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Müller-Peltzer, K.; Ruebenthaler, J.; Armbruster, M.; Reiser, M. und Clevert, D-A (2018): Nierenzysten als Zufallsbefund in der Nachsorge der endovaskulären Aortenreparatur (EVAR) mittels kontrastverstärktem Ultraschall (CEUS). In: Gefässchirurgie, Bd. 23, Nr. 1: S. 37-43

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Abstract

Background. Contrast-enhanced ultrasound has been implemented as the Standard examination of choice for the follow-up after endovascular aortic repair. Coincidentally, there is a significant number of incidental findings associated with these follow-up examinations that have no direct causal correlation to the endovascular aortic repair. These findings mostly include cystic renal lesions that must be correctly identified and characterized. Objective. What can help the examiner to distinguish between benign and malignant renal lesions in order to initiate or to avoid additional examinations. Material and methods. The Bosniak Classification for the evaluation of renal cysts allows a risk stratification of the potential malignancy of a cystic renal lesion and can be used to determine whether additional examinationsare necessary. Results. The Bosniak Classification discriminates between five different types of cystic renal lesions that are arranged in an increasing likelihood for malignancy. Bosniak type I and II lesions are benign in almost 100%of the cases, whereas Bosniak type II F lesions show a potential malignancy rate of 6% and followup needs to be performed. Bosniak type III and IV lesions show a malignancy rate of 50% and 100%, respectively, and must be be clarified in all cases. We present several typical examples showing the classical Sonographie criteria for the subdivision into the various types of the Bosniak Classification.

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