What is kidney cysts? Is the kidney cysts serious?
Renal cyst is the most common adult kidney abnormalities, can be unilateral or bilateral, one or more, the diameter of about 2cm in general, also have a diameter of 10cm cysts, mostly in men. With age, the incidence is getting higher and higher, simple renal cysts generally no symptoms, only when the cysts caused by vascular occlusion or urinary tract obstruction can occur when the corresponding performance, may have an impact on renal function. When the cyst more than 5cm, should be the appropriate treatment, including cyst fluid aspiration and intracapsular injection of hardening agent or surgical treatment.
What is kidney cysts?
Bone cyst is a congenital abnormality. Common kidney cysts are mainly adult polycystic kidney disease. Adult polycystic kidney disease is a congenital hereditary disease, refers to the autosomal dominant polycystic kidney disease (ADPKD), autosomal dominant genetic disease, which is characterized by a family clustering, men and women can be disease, Sexual involvement is equal, for several generations can occur patients. Kidney parenchyma filled with the size of the circle is not connected with the outside of the round cyst, capsule containing liquid, small naked eye can not see, large can have a few centimeters, more than the performance of bilateral kidneys are cysts, Renal cysts (polycystic kidney).
Clinical manifestation of renal cysts
Disease hazard
Patients often showed bilateral renal enlargement, cortex, medulla has a number of liquid cyst formation and continue to increase, secondary renal damage, eventually leading to renal failure. Can involve multiple systems, such as digestive system, cardiovascular system, central nervous system, reproductive system, the formation of liver cysts, spleen cysts, intracranial aneurysms, heart valve abnormalities. The disease has a late onset, often in the 30-50 years of age before the disease, so also known as "adult polycystic kidney disease", but according to the latest research shows that, including the fetus, including any time can be disease.
Common symptoms
1, renal abnormalities; 2, kidney enlargement; 3, abdominal mass; 4, pain; 5, bleeding; 6, proteinuria; 7, high blood pressure; 8, anemia; 9, renal insufficiency; Sexual lesions; 11, renal non-cystic lesions.
complication
ADPKD the most common complications of urinary tract infection, kidney stones, cyst calcification, in addition to the possibility of cyst cancer.
Diagnosis of renal cysts
Film degree exam
Autosomal dominant polycystic kidney that adult polycystic kidney disease, the ultrasound sound performance as follows: kidney volume increases, numerous renal size ranging from cysts and renal parenchymal echo enhancement. Renal cysts vary in size and squeeze each other, so the following cysts often can not show neat contours, and replaced by messy border of the liquid dark area. Cysts involving the entire kidney when the sonogram can not find the normal renal parenchymal echo, the performance of the echo enhancement or full of cysts. Cyst hemorrhage within the capsule blood cellulose precipitation, machine or necrosis of the formation of more changes in the sonogram can be divided into:
1, simple cyst type: the performance and simple cysts no difference;
2, the type of substance: cyst hyperechoic area after the echo enhancement is not obvious, it is difficult to distinguish with the substantial mass;
3, heterogeneous type, capsule echo is not uniform, changing shape. Renal cysts with infection, the image and hemorrhagic cysts are similar, changes and more. Cyst calcification is manifested as: the front of the cysts increased echo enhancement, the back of the wall and its echo is not enhanced, or even weakened, the capsule is still no echo area.
Color Doppler display: in the wall between the color flow, distribution of clutter. Renal artery blood flow and renal parenchymal blood showed poor. Doppler blood flow spectrum detected increased resistance index. Such as with polycystic liver, polycystic pancreas, spleen cyst, these organs also showed cyst changes.
CT examination
Both sides of the kidney increased, the whole kidney is full of size ranging from cysts, CT value between 8-20Hu. Polycystic kidney edge clear, cysts are thin and thin, each other. Renal pelvic compression deformation. At the same time can be seen associated with the liver, spleen, pancreas and other parts of the cyst, enhanced cyst enhancement interval significantly. If the cyst content is not uniform, irregular wall thickening prompted cysts associated with infection.
How to do with renal cysts
The treatment of renal cysts need to be due to illness varies, not general. Because the development of renal cysts slow, do not oppress kidney tissue, does not damage the kidney function, no harm to health, so for asymptomatic patients, cysts without increasing the trend of patients can not be treated, and take regular review of kidney B; The age of onset is still small, kidney cysts have increased the trend of patients should be treated as early as possible to prevent the treatment does not affect the renal function.
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