Causes of Cystic Renal Mass - Differential Diagnosis Algorithm
Benign - Anechoic on ultrasound, Well-demarcated on ultrasound/CT, Non-enhancing with CT contrast
- Simple Cysts - No family history of ADPKD, Normal sized kidneys, No cysts in other organs
- Polycystic - Multiple bilateral cysts, Positive family history, Enlarged kidneys, Cysts in other organs
• Polycystic Kidney Disease
• Tuberous Sclerosis
• Von Hippel-Lindau Syndrome
Suspicious - Septated/Loculated on ultrasound, Irregular border on ultrasound/CT, Enhancing with CT contrast
- Carcinoma - No signs of infection - Renal Cell Carcinoma
- Abscess - Fever and leukocytosis, Positive Gallium scan
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