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Genito-Urinary Tumors Episode Finale

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Genito-Urinary Tumors

Episode Finale

• Renal tumors.• Tumors of the ureter.• Bladder tumors.• Prostate tumors.• Testicular tumors.

Genito-Urinary Tumors

Genito-Urinary Tumors

Renal tumors

Benign:

• Angiomyolipoma.

• Oncocytoma.

• Multilocular Cystic Nephroma.

Genito-Urinary Tumors

Renal tumors

Malignant:

• Renal Cell Carcinoma.

• Wilms Tumour.

• Urothelial Carcinoma.

• Renal Lymphoma.

• Mesoblastic nephroma

• Clear cell sarcoma

• Rhabdoid tumor

• Renal medullary carcinoma

• Ossifying renal tumor of infancy

• Metanephric adenoma

Genito-Urinary Tumors

Renal tumors

SolidGenito-Urinary Tumors

Renal Mass

Solid Cystic

Genito-Urinary Tumors

Solid Renal Mass

Adult Child Fetus/neoborn

RCC TCC Wilms Mesoblastic Nephroma

Genito-Urinary Tumors

Solid Renal Mass

• Homogeneous + Stellate Scar → Oncocytoma.

• Fat → AML.

• Cystic + herniation into sinus → Multilocular Cystic

Nephroma.

• Infant + Central + Calcified → Ossifying Tumour.

Genito-Urinary Tumors

Solid Renal Mass

Genito-Urinary Tumors

Cystic Renal Mass

Bosniak Classification

BOSNIAK CLASSIFICATION

Category I

• Benign cysts showing homogeneity, water content and a sharp interface with adjacent renal parenchyma.

• No wall thickening, calcification, or enhancement.

BOSNIAK CLASSIFICATION

One or two thin (<1 mm thick) septations.

Thin, fine calcification in their walls or septa.

Hyperdense benign cysts with all the features of category I cysts except for homogeneously high attenuation.

Category II

• Cystic lesions with:

BOSNIAK CLASSIFICATION

Indeterminate cystic masses that show:

• Uniform wall thickening.• Nodularity.• Thick or irregular peripheral

calcification.• Multilocular nature with multiple

enhancing septa.

Category III

•Category III consists of true

indeterminate cystic masses that need

surgical evaluation, although many prove

to be benign.

BOSNIAK CLASSIFICATION

These are lesions with a non-uniform 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 Hounsfield Units

Category IV

Bosniak Classification

Bosniak Classification

Bosniak Classification

Bosniak Classification

Bosniak Classification

Bosniak Classification

Bosniak Classification

Bosniak Classification