BosniakⅢ级肾囊性病变的临床管理  

Clinical management of BosniakⅢcystic renal lesions

作　　者：钱羿辰 邓君鹏[1] 沈华[1] Qian Yichen;Deng Junpeng;Shen Hua(Department of Urology,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215001,China)

机构地区：[1]南京医科大学附属苏州医院泌尿外科,苏州215001

出　　处：《国际外科学杂志》2025年第2期137-144,共8页International Journal of Surgery

基　　金：苏州市泌尿系疾病临床医学中心(Szlcyxzx202106)。

摘　　要：BosniakⅢ级肾囊性病变的恶性风险难以评估,如何处理这些病变成为了临床医师的一大难题。研究表明,约半数病例存在过度治疗,导致患者承受了不必要的创伤和经济负担。随着影像学及外科技术的发展,更先进的临床管理策略应运而生,更符合精准医疗的理念。本文综述了BosniakⅢ级肾囊性病变影像学监测、活检及外科学治疗3个方面的进展。Assessing the malignant potential of BosniakⅢcystic renal lesions is challenging,presenting a significant dilemma for clinicians in their management.Studies indicate that approximately 50%of these cases may be subjected to overtreatment,resulting in avoidable trauma and financial strain for patients.With the continuous development of imaging and surgery technologies,more advanced clinical management strategies are emerging that align with the principles of precision medicine.This article reviewed the progress of BosniakⅢlesions in imaging monitoring,biopsy,and surgical treatment.

关 键 词：囊性肾疾病 肾肿瘤 疾病管理 诊断显像 活检 外科手术 

分 类 号：R73[医药卫生—肿瘤]