ACTIVE SURVEILLANCE OF THE SMALL RENAL MASS


Authors: M. C. Smaldone;  D. Canter;  J. Simhan;  A. Kutikov;  R. G. Uzzo *
Authors‘ workplace: Department of Surgery, Division of Urologic Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania *
Published in: Urol List 2012; 10(1): 26-30

Overview

With the continued, routine use of cross-sectional imaging for unrelated reasons, the incidental diagnosis of small renal masses (< 4 cm) continues to rise. Yet, despite this fact, the overall mortality rate for renal cell carcinoma remains unchanged. Active surveillance of small renal masses has emerged as a viable option for patients, especially those who are older and/or co-morbid. In this article, we review the existing world literature regarding small renal masses with specific interest in growth kinetics and rates of progression/metastases.

Key words:
renal cell carcinoma, small renal mass, active surveillance


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