Bosniak IV renal cyst is likely a malignant lesion. You can choose surveillance if the cyst is less than 4 cm. If you don't want surgery, especially total nephrectomy, you can request thermal ablation, which recently has been proved effective even with large lesion. If partial nephrectomy (nephron sparing surgery) is feasible, you should go for that. Good luck to your decision & trust your doctors
Answered 1/26/2023
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