Search

1. Many diverse disease processes may result in a multiloculated renal mass. 2. The term "multilocular cyst" is purely descriptive and should not be used as a specific diagnosis. 3. The management of this diverse group of diseases is controversial. There is insufficient information concerning the accuracy of percutaneous biopsy to permit one to base management decisions on such a biopsy in most of these masses. The cystic diseases (septated cyst, localized cystic disease, segmental multicystic kidney) should be managed conservatively. Most cases of arteriovenous communication are readily diagnosed angiographically and managed by vascular occlusive techniques or by surgery. The remaining multiloculated renal masses usually require surgical removal for histologic diagnosis or definitive therapy or both.

A unique form of acquired cystic disease develops in the kidneys with end-stage renal failure. The cystic disease usually remains asymptomatic, but haemorrhage or neoplasia may occur. Computerised tomography rather than ultrasound is the most reliable investigation in detecting the presence of tumours in this condition.

Cystic diseases in the male pelvis are uncommon, and stones found in male pelvic cysts are very rare. We report a case of a giant stone found in the male pelvis. Computed tomography was helpful in locating the stone, and surgery revealed it to be a Müllerian duct cyst.

AN editorial, "Cystic Diseases of the Kidney," published in the Journal last year,1 contains the following statement: A clinical picture virtually identical with medullary cystic disease is encount...

SUMMARY. An unusual gross appearance of avian tuberculosis, where fluid-filled thinwalled cysts are produced and grossly apparent in preference to granulomas, is presented. Histopathology confirmed the granulomatous nature of the lesions and the presence of intracellular acid-fast organisms. Mycobacterium avium complex was cultured from affected organs. The unusual gross presentation in these cases indicates the need to consider tuberculosis in the differential of cystic diseases of avian livers. RESUMEN. Reporte de Caso-Aislamiento de Mycobacterium avium a partir de aves acuaticas con higados poliquisticos. Se presenta una apariencia macrosc6pica poco comfin de tuberculosis aviar donde se producen quistes de pared delgada llenos de liquido, en lugar de granulomas. Por histopatologia se confirm6 la naturaleza granulomatosa de las lesiones y la presencia de organismos acido resistentes intracelulares. De los 6rganos afectados se cultiv6 el Mycobacterium avium. La presentaci6n macrosc6pica poco comuin de estos casos indica la necesidad de considerar la tuberculosis en el diagn6stico diferencial de higados aviares con enfermedades quisticas.

Specialists in nephrology, urology, pediatrics, pathology and radiology contribute to the preparation of this book and thus assure that each section is authoritative and current. More importantly, they clarify much confusion arising from the muddled nomenclature that has blocked our understanding of the relationships among renal cystic diseases. Renal cystic diseases are so significant as causes of end-stage kidney disease that their etiologies, resulting symptoms, and complications need to be better understood. The chapter on classification looks complicated but through listing the types by etiology and site, order is gained. The chapter on radiography illustrates the most modern technics and supplements them with photographs of the corresponding gross specimens. In addition, as part of the discussion of each cystic entity, the radiographic diagnostic features are described and well-illustrated. The section on functional abnormalities associated with renal cystic disease contains useful information for management of patients. The genetics section also has

Endocrinologic study has demonstrated a definite relation between the parathyroid glands and the metabolism of calcium in the skeletal body, which seems to have been first noted by Erdheim in 1903. Since then other observers, including Verbitz, Langhams, Schlagenhaufer, Gunther and Mandl, have reported cases to substantiate the direct influence of tumors and hyperplasia of the parathyroid glands in the causation of cystic bone disease as well as in less well defined bone demineralization. The case that we are reporting points to the possibility of cure of certain cystic diseases of bone by roentgen irradiation of the parathyroids, and no record of a similar case influenced by irradiation can be found in the literature. A white woman, aged 34, unmarried, referred to the radiologic clinic by Dr. Bullock of Washington, D. C., was admitted to Garfield Hospital by ambulance, May 16, 1931. The family history was unessential. She had had

Excerpt Cystic disease of the lung has long been considered a rather uncommon condition, probably because it rarely gives symptoms and is usually found in the course of routine physical and roentge...

Excerpt Although non-parasitic cystic disease of the liver is a comparatively rare pathologic entity, it is encountered with sufficient frequency that the internist should certainly be aware of its...