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Phân loại nang thận

Category I lesions are simple benign cysts showing homogeneity, water content, and a sharp interface with adjacent renal parenchyma, with no wall thickening, calcification, or enhancement. Category II. --- This category consists of cystic lesions with one or two thin (≤ 1 mm thick) septations or thin, fine calcification in their walls or septa (wall thickening 1 mm advances the lesion into surgical category III) and hyperdense benign cysts with all the features of category I cysts except for homogeneously high attenuation. . | Phân loại nang thận Category I. Category I lesions are simple benign cysts showing homogeneity water content and a sharp interface with adjacent renal parenchyma with no wall thickening calcification or enhancement. Category II. This category consists of cystic lesions with one or two thin 1 mm thick septations or thin fine calcification in their walls or septa wall thickening 1 mm advances the lesion into surgical category III and hyperdense benign cysts with all the features of category I cysts except for homogeneously high attenuation. A benign category II lesion must be 3 cm or less in diameter have one quarter of its wall extending outside the kidney so the wall can be assessed and be nonenhancing after contrast material is administered. Category IIF This category consists of minimally complicated cysts that need follow-up. This is a group not well defined by Bosniak but consists of lesions that do not neatly fall into category II. These lesions have some suspicious features that deserve follow-up up to detect any change in character. Category III. - Category III consists of true indeterminate cystic masses that need surgical evaluation although many prove to be benign. They may show uniform wall thickening nodularity thick or irregular peripheral calcification or a multilocular nature with multiple enhancing septa. Hyperdense lesions that do not fulfill category II criteria are including in this group. Category IV. These are lesions with a nonuniform or enhancing thick wall enhancing or large nodules in the wall or clearly solid components in the cystic lesion. Enhancement was considered present when lesion components increased by at least 10 H. PHÂN LOẠI BỆNH NANG THẬN THEO BOSNIAK Nhóm I những nang thận lành tính đơn giản cấu trúc đồng nhất chứa nước và giao diện rõ với mô thận kế cận thành nang không dày không bị vôi hóa không tăng đậm độ. Nhóm II bao gồm những tổn thương nang thận có 1 hoặc 2 vách ngăn mỏng 1mm hay bị vôi hóa ở thành nang hoặc vách ngăn .