The simple renal cyst is a benign non-neoplastic mass of unknown etiology arising in renal parenchyma (cortical cyst) or within the sinus region (parapelvic cyst). The uncomplicated cyst cavity is typically unilocular, usually filled with clear serous fluid and lined with a cuboidal epithelium with no communication to the renal collecting system. It's believed that these cysts arise from tubular or lymphatic obstruction. The incidence of renal cysts increases with age occurring rarely in neonates and the pediatric group, to over 50% in those over age 50.The simple renal cortical cyst or parapelvic cyst is discovered incidentally so it's important to differentiate it from a true renal neoplasm. Renal cysts account for 60-65% of all renal masses. Large cortical cysts can show up as a palpable flank mass and parapelvic cysts can be detected producing extrinsic compression or mass effect on the collecting system on an intravenous pyelography (IVP) exam.
Renal cortical cyst typically don't cause signs or symptoms. If a renal cortical cyst grows large enough, symptoms may include:
Dull pain in your back or side
Fever
Upper abdominal pain
Frequent urinary tract infection
Renal cortical cyst Treatment
If you have a small kidney cysts that isn't causing you any problems, your physician will generally leave it alone, though she may follow up with additional scans in six to 12 months. But if you experience symptoms of a renal cortical cyst, your physician will probably send you to a urologist, who specializes in diagnosing and treating kidney problems.
Your urologist will determine whether your renal cysts have grown randomly, or whether they have resulted from polycystic kidney disease (PKD)---an inherited disease the targets the kidneys and causes the growth of kidney cysts. Small or few renal cysts will generally not harm you, but multiple or large cysts can cause pain, infection and damage to the kidneys. If your urologist suspects PKD, schedule biannual scans to check for the presence of cysts in your kidneys.
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