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A renal mass, or tumor, is an abnormal growth in the kidney. Some renal masses are benign (not cancerous) and some are malignant (cancerous). One in four renal masses are benign.
A renal mass is a growth on or in the kidney. Such masses are often diagnosed during radiological examination of the kidneys or surrounding area, which may be conducted for a variety of reasons. When a renal mass is identified, it is important to evaluate it to determine whether or not additional medical steps need to be taken.
Renal Cell Carcinoma. Mass is cystic and solid. Tumor nodules are seen arising from the wall of the cyst pointed by long arrow. US. Isoechoic mass or hypoechoic mass; Hyperechoic mass; Renal Cell Carcinoma. Almost isoechoic mass from upper pole; No posterior wall enhancement to suggest a cyst; MR. T1: Low signal ; T2: High signal ; Enhances with contrast Renal Cell Carcinoma
Kidney Masses. A Bosniak 4 cyst is considered an enhancing renal mass and must be assumed to be malignant and thus treated accordingly. It is the intermediate grade complex cyst that requires judgment and counseling as to proper next steps. A Bosniak 2 cyst has a less than 1% chance of being malignant.
Solid renal masses are most often incidentally detected at imaging as small (≤ 4 cm), localized lesions. These lesions comprise a wide spectrum of benign and malignant histologies, but are largely treated with surgical resection given the limited ability of imaging to differentiate among them with consistency and high accuracy.
Many small renal masses are benign. The development of new imaging methods and advancements in techniques have aided in the detection, evaluation, monitoring of growth through active surveillance, treatment planning, and assessment of treatment response for these tumors.