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. 2024 Aug 20;51(4):635–647. doi: 10.1007/s10396-024-01489-x

Table 6.

Summary of Bosniak classification describing the type of cysts, the associated risk of malignancy, and its management

Bosniak class Type of lesion Risk of malignancy Management
I Benign simple cyst 0% No follow-up
II Benign minimally complex cyst 0% No follow-up
IIF Likely benign cystic mass 5–10%

Follow-up for 5 years:

▪ Every 6 months for 2 years

▪ Once a year for 3 years

III Uncertain nature 50% Urology consult
IV Malignant cystic nature 90% Urology consult