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Dusko Bjelica, Kemal Idrizovic, Stevo Popovic, Nedim Sisic, Damir Sekulic, Ljerka Ostojic, Miodrag Spasic, Natasa Zenic
Substance use and misuse (SUM) in adolescence is a significant public health problem and the extent to which adolescents exhibit SUM behaviors differs across ethnicity. This study aimed to explore the ethnicity-specific and gender-specific associations among sports factors, familial factors, and personal satisfaction with physical appearance (i.e., covariates) and SUM in a sample of adolescents from Federation of Bosnia and Herzegovina. In this cross-sectional study the participants were 1742 adolescents (17-18 years of age) from Bosnia and Herzegovina who were in their last year of high school education (high school seniors)...
2016: International Journal of Environmental Research and Public Health
Andrea Pieroni, Renata Sõukand, Cassandra L Quave, Avni Hajdari, Behxhet Mustafa
A food ethnobotanical field study was conducted among the Gorani of South Kosovo, a small ethnic minority group that speaks a South-Slavic language and lives in the south of the country. We conducted forty-one semi-structured interviews in ten villages of the Kosovar Gora mountainous area and found that seventy-nine wild botanical and mycological taxa represent the complex mosaic of the food cultural heritage in this population. A large portion of the wild food plant reports refer to fermented wild fruit-based beverages and herbal teas, while the role of wild vegetables is restricted...
September 22, 2016: Appetite
Jan Edenberg, Kaja Gløersen, Herzi Abdi Osman, Magne Dimmen, Geir V Berg
OBJECTIVE: Focal renal lesions are common incidental findings on computed tomography (CT). For lesions with a cystic appearance, the Bosniak classification system has enabled an important separation of benign and (potentially) malignant cysts, giving a practical guide for management. The purpose of this study was to evaluate contrast-enhanced ultrasound (CEUS) as a problem-solving modality for classification of indeterminate renal lesions detected with CT. MATERIALS AND METHODS: In total, 140 consecutive patients with 148 indeterminate renal lesions were examined with ultrasound combined with CEUS (81 men and 59 women with mean age 63...
September 9, 2016: Scandinavian Journal of Urology
Indraneel Banerjee, Sher Singh Yadav, Vinay Tomar, Suresh Yadav, Shyam Talreja
Tubulocystic renal cell carcinoma (TCRC) is a rare renal tumor. Patients are usually asymptomatic; it is usually detected incidentally, during imaging studies for Bosniak type III and type IV renal cysts. These tumors rarely metastasize. The role of targeted therapy in such rare tumors is still controversial. We report a case of TCRC initially presented as a Bosniak type II renal cyst and was discovered ultimately to be a metastatic disease. This type of presentation might broaden our understanding of this rare disease...
2016: Reviews in Urology
Matthew Ragel, Anbu Nedumaran, Jolanta Makowska-Webb
AIM: To compare contrast-enhanced ultrasound and contrast-enhanced computed tomography in the evaluation of complex renal cysts using the Bosniak classification. METHODS: Forty-six patients with 51 complex renal cysts were prospectively examined using contrast-enhanced ultrasound and contrast-enhanced computed tomography and images analysed by two observers using the Bosniak classification. Adverse effects and patients' preference were assessed for both modalities...
February 2016: Ultrasound: Journal of the British Medical Ultrasound Society
Sheng-Han Tsai, Jia-Hwia Wang, Yi-Chen Lai, Yen-Hwa Chang, Hsiao-Jen Chung, Luke S Chang
BACKGROUND: Mixed epithelial and stromal tumor of the kidney (MESTK) is a rare tumor, with few malignant cases reported. Occurring mostly in middle-aged women, it is characterized by a biphasic pathological structure. METHODS: This study retrospectively reviewed the imaging findings and medical records of six MESTK cases of a single institution in a 10-year period. RESULTS: All of the patients were middle-aged women without hormone therapy history...
October 2016: Journal of the Chinese Medical Association: JCMA
Marcos Roberto de Menezes, Publio Cesar Cavalcante Viana, Tassia Regina Yamanari, Leonardo Oliveira Reis, William Nahas
PURPOSE: To describe our initial experience with radiofrequency ablation (RFA) of Bosniak IV renal cysts. MATERIALS AND METHODS: From 2010 to 2014, 154 renal tumor cases were treated with percutaneous thermal ablation, of which 10 cases (6.4%) from nine patients were complex renal cysts and were treated with radiofrequency ablation. RESULTS: All complex cysts were classified as Bosniak IV (four women and five men; mean age: 63.6 yrs, range: 33-83 years)...
May 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Aila Menezes Ferreira, Rodolfo Borges Reis, Plinio Prizon Kajiwara, Gyl Eanes Barros Silva, Jorge Elias, Valdair Francisco Muglia
PURPOSE: The purpose of this study was to compare the ability of magnetic resonance imaging (MRI) and computed tomography (CT) to discriminate between benign and malignant cystic renal lesions utilizing the Bosniak classification. MATERIALS AND METHODS: We retrospectively searched our Radiological Information System using renal/kidney cysts as entries. The search retrieved 2929 patients and 525 complex renal cysts. After exclusions, 42 complex cysts, from 37 patients, with CT and MRI, up to six months apart, were included...
October 2016: Abdominal Radiology
Pari V Pandharipande, Brian R Herts, Richard M Gore, William W Mayo-Smith, H Benjamin Harvey, Alec J Megibow, Lincoln L Berland
The authors explore the benefits and risks of not reporting imaging findings that do not have clinical relevance, with the goal of developing recommendations to reduce their reporting. The authors review the example of incidentally detected, simple renal cysts (Bosniak category I), including medicolegal conditions required for such a shift in reporting practices to be acceptable. The authors propose four potential criteria for not reporting clinically unimportant findings and recommend that these criteria be debated in other contexts, so that they can be refined and implemented...
July 2016: Journal of the American College of Radiology: JACR
Nicole M Hindman
PURPOSE: The purpose of the study is to provide an update on the imaging evaluation of cystic renal masses, to review benign and malignant etiologies of cystic renal masses, and to review current controversies and future directions in the management of these lesions. CONCLUSIONS: Cystic renal masses are relatively common in daily practice. The Bosniak classification is a time-proven method for the imaging classification and management of these lesions. Knowledge of the pathognomonic features of certain benign Bosniak 2F/3 lesions is important to avoid surgery on these lesions (e...
June 2016: Abdominal Radiology
J Rübenthaler, F Bogner, M Reiser, D A Clevert
Ultrasound is the most used interdisciplinary non-ionizing imaging technique in clinical routine. Therefore, ultrasound has a special value in the diagnosis and monitoring of cystic renal lesions, which can be classified as non-complicated or complicated and by means of occurrence as solitary or multifocal lesions. The Bosniak classification (I-IV) classifies renal cysts in 5 different categories with the help of ultrasound and computed tomography image criteria and is used for decisions of further clinical treatment...
June 2016: Ultraschall in der Medizin
Jie Yang, Pu Li, Chuan Su, Jia-Yi Zhang, Min Gu
An old fishman presented with left lumbago and finding worms in his urine. Type-B ultrasonic inspection and computed tomography scan found a Bosniak cyst III, containing several wire-like elements, in the middle of the left kidney. Expelled worms were confirmed to be Dioctophyma renale. After two courses of albendazole, the man was cured.
July 2016: Urology
Tae Hoon Oh, Ill Young Seo
PURPOSE: To evaluate the clinical reliability of the Bosniak classification in Korea, and to identify independent predictors of malignancy in complicated renal cysts. MATERIALS AND METHODS: We reviewed the records of 368 patients with renal cysts between January 2001 and December 2014; 14 patients were excluded, due to interobserver variability in Bosniak classification between the radiologist and urologist. Clinical characteristics and radiologic findings of malignant cystic masses were analyzed, retrospectively...
March 2016: Investigative and Clinical Urology
Dragica Obad Kovacević, Jelena Popić-Ramac, Vinko Vidjak
OBJECTIVE: To evaluate primary (technical) success and procedure safety in ultrasound (US)-guided percutaneous sclerotherapy of simple renal cysts, using 96% ethanol. PATIENTS: 17 patients with symptomatic simple renal cysts referred by nephrologists or urologists. METHODS: US-guided percutaneous puncture of the cyst with an 18G (gauge) needle and a "pigtail" 5F (French) catheter, drainage and inspection of the cyst content, and injection of ethanol...
November 2015: Lijec̆nic̆ki Vjesnik
Marta Morna Palmeiro, João Luz Niza, Ana Luisa Loureiro, João Paulo Conceição e Silva
Multilocular cystic renal cell carcinoma (MCRCC) is a rare presentation of renal cell carcinoma. Most patients are asymptomatic and frequently MCRCCs are detected incidentally. MCRCCs have good prognosis because of their low malignant potential. We report a case of a 39-year-old woman who presented with mild right flank pain and normal laboratory data. On imaging examinations, a Bosniak III cystic lesion was detected in the lower third of the right kidney. She underwent right partial nephrectomy and histopathology showed a multilocular cystic renal cell carcinoma Fuhrman grade 1...
2016: BMJ Case Reports
Aditya Prakash Sharma, Sudheer Kumar Devana, Girdhar Singh Bora, Ravimohan Mavuduru, Arup Kumar Mandal
Robot-assisted partial nephrectomy has become a safe and feasible procedure for small renal masses (SRM). Similarly, robot-assisted adrenalectomy has also been well established. Robotic surgery has provided the possibility to manage complex cases that are considered technically challenging for traditional laparoscopy. We describe in this video the details of performing simultaneous robotic adrenalectomy with partial nephrectomy highlighting the technical aspects of the same. A 62-year-old gentleman presented to us with incidentally detected left renal complex cyst (Bosniak IIF) and a concomitant left adrenal mass...
June 2016: Journal of Robotic Surgery
Baris Turkbey, Maria L Lindenberg, Stephen Adler, Karen A Kurdziel, Yolanda L McKinney, Juanita Weaver, Cathy D Vocke, Miriam Anver, Gennady Bratslavsky, Philip Eclarinal, Gideon Kwarteng, Frank I Lin, Nana Yaqub-Ogun, Maria J Merino, W Marston Linehan, Peter L Choyke, Adam R Metwalli
BACKGROUND: Carbonic anhydrase IX (CA-IX) is a potential imaging biomarker of clear cell renal cell carcinoma (ccRCC). Here, we report the results of a phase II clinical trial of a small molecule radiotracer targeting CA-IX ((18)F-VM4-037) in ccRCC. METHODS: Between October 2012 and May 2013, 11 patients with kidney masses underwent (18)F-VM4-037 PET/CT prior to surgery. Dynamic imaging was performed for the first 45 min post injection and whole-body imaging was obtained at 60 min post injection...
January 2016: Abdominal Radiology
Weibin Hou, Dexin Dong, He Xiao, Guanghua Liu, Weigang Yan, Zhigang Ji
OBJECTIVE: To explore the clinical features and treatment options of patients undergoing surgical masses excision for preoperatively misclassified complicated renal cysts. METHODS: Retrospective analysis was performed on clinical records of patients who received partial or radical nephrectomy at Department of Urology of Peking Union Medical College Hospital with postoperatively pathological examination as benign renal cysts from January 2008 to December 2014. RESULTS: There were a total of 31 patients meeting the inclusion criteria for analysis...
June 23, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Marco Oderda, Francesca Maletta, Anna Palazzetti, Riccardo Faletti, Marco Falcone, Giancarlo Marra, Diego Galliano, Laura Davico Bonino, Paolo Gontero
Even though CT scans are considered the gold standard to characterize a renal mass, sometimes they can be misleading, showing a solid renal mass as a cystic one. Tubulocystic renal cell carcinoma (TcRCC) is a rare and recently discovered RCC variant which radiologically may look like a Bosniak type II to IV, even if it has solid features. We describe a case of a patient with left kidney TcRCC initially diagnosed as a renal cyst, who finally underwent radical nephrectomy showing a large, solid neoplasm. Due to its unusual CT appearance, TcRCC can be confused with cystic lesions and several other benign or malignant entities...
October 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Rami Boulma, Mohamed Mourad Gargouri, Mohamed Chlif, Ahmed Sellami, Sami Ben Rhouma, Yassine Nouira
BACKGROUND: Atypical renal cysts are suspicious for malignancy. It is hard in some cases to give a sharp radiological diagnosis and propose an appropriate management. AIM: To give the histological results of the operated atypical renal cysts and to establish a correlation between the radiological findings and histological features. METHODS: Between January 2001 and December 2012, 22 patients have been operated in our department for atypical renal cysts...
June 2015: La Tunisie Médicale
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