Bosniak Cysts Flashcards

1
Q

What is the latest classification system for Bosniak cysts?

A

Bosniak classification system

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2
Q

True or False: Bosniak cysts are classified based on imaging characteristics.

A

True

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3
Q

What are the main imaging modalities used to classify Bosniak cysts?

A

CT and MRI

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4
Q

In the Bosniak classification system, which category represents a simple cyst?

A

Category I

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5
Q

What is the classification for a Bosniak cyst that has thin septa or minimally thickened calcifications?

A

Category II

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6
Q

What category in the Bosniak classification system indicates a Bosniak cyst with thickened, irregular septa?

A

Category III

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7
Q

True or False: Category IV Bosniak cysts have enhancing solid components.

A

True

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8
Q

What is the recommended management for Bosniak category I cysts?

A

Routine follow-up

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9
Q

What is the recommended management for Bosniak category II cysts?

A

Routine follow-up

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10
Q

What is the recommended management for Bosniak category IIF cysts?

A

Surgical resection

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11
Q

What is the recommended management for Bosniak category III cysts?

A

Surgical resection

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12
Q

What is the recommended management for Bosniak category IV cysts?

A

Surgical resection

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13
Q

What percentage of Bosniak category III cysts are malignant?

A

50%

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14
Q

What is the main goal of the Bosniak classification system?

A

To help guide management decisions

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15
Q

True or False: The Bosniak classification system has been widely adopted in clinical practice.

A

True

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16
Q

What is the significance of Bosniak category IV cysts?

A

High risk of malignancy

17
Q

What imaging characteristics differentiate Bosniak category II from category IIF cysts?

A

Thickened, irregular septa in category IIF

18
Q

What is the main advantage of the Bosniak classification system?

A

Risk stratification for renal cysts

19
Q

What is the main disadvantage of the Bosniak classification system?

A

Interobserver variability

20
Q

What is the most common Bosniak category encountered in clinical practice?

A

Category I

21
Q

What imaging feature is characteristic of Bosniak category IV cysts?

A

Enhancing solid components

22
Q

What is the main concern with Bosniak category III cysts?

A

Indeterminate risk of malignancy

23
Q

What is the role of contrast-enhanced CT or MRI in the evaluation of Bosniak cysts?

A

To assess enhancement patterns

24
Q

What is the main advantage of the Bosniak classification system over previous systems?

A

Improved risk stratification

25
Q

True or False: Bosniak category II cysts have high risk of malignancy.

A

False