A Diagnostic Dilemma: Bosniak III Renal Cyst and Missed Papillary Urethral Lesion – A Case Report

Nabeel Umer  Hussain; Farah  Hassan; Amer  Habeeb

doi:10.54112/bcsrj.v6i1.1540

Authors

Nabeel Umer Hussain Primary Health Care Corporation Qatar
Farah Hassan Primary Health Care Corporation Qatar
Amer Habeeb Primary Health Care Corporation Qatar

DOI:

https://doi.org/10.54112/bcsrj.v6i1.1540

Keywords:

Renal Cysts, Bosniak Classification, Hematuria, Cystoscopy

Abstract

Renal cysts are common findings in clinical practice, with the Bosniak classification system guiding management based on imaging characteristics. Bosniak III cysts, characterised by multiple septations and enhancing walls, present a challenge due to their intermediate malignancy risk. This case report describes a 47-year-old male with a complex left renal cyst initially classified as Bosniak III in Qatar but later downgraded to Bosniak IIF in the United Kingdom, leading to surveillance rather than immediate surgical intervention. Additionally, a papillary growth in the prostatic urethra was missed during initial evaluations. This case highlights the importance of expert multidisciplinary team (MDT) discussions, imaging standardisation, and thorough urological assessments in patients presenting with hematuria and renal cystic lesions.

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