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Genito-Urinary
Tumors
Episode Finale
• Renal tumors.
• Tumors of the ureter.
• Bladder tumors.
• Prostate tumors.
• Testicular tumors.
Genito-Urinary Tumors
Genito-Urinary Tumors
Renal tumors
Benign:
• Angiomyolipoma.
• Oncocytoma.
• Multilocular Cystic Nephroma.
Genito-Urinary Tumors
Renal tumors
Malignant:
• Renal Cell Carcinoma.
• Wilms Tumour.
• Urothelial Carcinoma.
• Renal Lymphoma.
• Mesoblastic nephroma
• Clear cell sarcoma
• Rhabdoid tumor
• Renal medullary carcinoma
• Ossifying renal tumor of infancy
• Metanephric adenoma
Genito-Urinary Tumors
Renal tumors
Solid
Genito-Urinary Tumors
Renal Mass
Solid Cystic
Genito-Urinary Tumors
Solid Renal Mass
Adult Child Fetus/neoborn
RCC TCC Wilms Mesoblastic
Nephroma
Genito-Urinary Tumors
Solid Renal Mass
• Homogeneous + Stellate Scar → Oncocytoma.
• Fat → AML.
• Cystic + herniation into sinus → Multilocular Cystic
Nephroma.
• Infant + Central + Calcified → Ossifying Tumour.
Genito-Urinary Tumors
Solid Renal Mass
Genito-Urinary Tumors
Cystic Renal Mass
Bosniak Classification
BOSNIAK
CLASSIFICATION
Category I
• Benign cysts showing
homogeneity, water content
and a sharp interface with
adjacent renal parenchyma.
• No wall thickening,
calcification, or enhancement.
BOSNIAK
CLASSIFICATION
One or two thin (<1 mm thick)
septations.
Thin, fine calcification in their
walls or septa.
Hyperdense benign cysts with all
the features of category I cysts
except for homogeneously
high attenuation.
Category II
• Cystic lesions with:
BOSNIAK
CLASSIFICATION
Indeterminate cystic masses that
show:
• Uniform wall thickening.
• Nodularity.
• Thick or irregular peripheral
calcification.
• Multilocular nature with multiple
enhancing septa.
Category III
•Category III consists of true
indeterminate cystic masses that need
surgical evaluation, although many prove
to be benign.
BOSNIAK
CLASSIFICATION
These are lesions with a non-uniform or
enhancing thick wall, enhancing or large
nodules in the wall, or clearly solid
components in the cystic lesion.
Enhancement was considered present when
lesion components increased by at least 10
Hounsfield Units
Category IV
Bosniak Classification
Bosniak Classification
Bosniak Classification
Bosniak Classification
Bosniak Classification
Bosniak Classification
Bosniak Classification
Bosniak Classification

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