Small renal mass

To treat or not to treat

Ahmed Alasker, Steve K. Williams, Reza Ghavamian

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

An increasing number of small renal masses (SRMs) are being detected with modern cross-sectional imaging. The natural history of SRMs is mostly unknown. Initial active surveillance (AS) is a reasonable treatment option for small renal masses (SRMs) < 4 cm in the infirm patient with major comorbidities. Partial nephrectomy (PN) is the established treatment for T1a tumors, provided that the operation is technically feasible and the tumor can be completely removed. Laparoscopic and, most recently, robotic PN have functional and oncologic outcomes comparable to open PN, but are technically demanding procedures. Radical nephrectomy (RN) should be limited to those cases where the tumor is not amenable to PN. Percutaneous needle biopsy of SRMs can be safely performed and has the potential to characterize SRMs histologically. It is best utilized in conjunction with ablative technologies. However, ablative therapies should be reserved for carefully selected patients who are poor surgical candidates.

Original languageEnglish (US)
Pages (from-to)13-18
Number of pages6
JournalCurrent Urology Reports
Volume14
Issue number1
DOIs
StatePublished - Feb 2013

Fingerprint

Nephrectomy
Kidney
Neoplasms
Robotics
Needle Biopsy
Natural History
Comorbidity
Therapeutics
Technology

Keywords

  • Active surveillance
  • Cryoablation
  • Localized renal cellular carcinoma
  • Partial nephrectomy
  • Radiofrequency ablation
  • Robotic-assisted laparoscopic nephrectomy
  • Small renal masses

ASJC Scopus subject areas

  • Urology

Cite this

Alasker, A., Williams, S. K., & Ghavamian, R. (2013). Small renal mass: To treat or not to treat. Current Urology Reports, 14(1), 13-18. https://doi.org/10.1007/s11934-012-0296-3

Small renal mass : To treat or not to treat. / Alasker, Ahmed; Williams, Steve K.; Ghavamian, Reza.

In: Current Urology Reports, Vol. 14, No. 1, 02.2013, p. 13-18.

Research output: Contribution to journalArticle

Alasker, A, Williams, SK & Ghavamian, R 2013, 'Small renal mass: To treat or not to treat', Current Urology Reports, vol. 14, no. 1, pp. 13-18. https://doi.org/10.1007/s11934-012-0296-3
Alasker, Ahmed ; Williams, Steve K. ; Ghavamian, Reza. / Small renal mass : To treat or not to treat. In: Current Urology Reports. 2013 ; Vol. 14, No. 1. pp. 13-18.
@article{eead5d80b96549cc9f79bca11bd000ed,
title = "Small renal mass: To treat or not to treat",
abstract = "An increasing number of small renal masses (SRMs) are being detected with modern cross-sectional imaging. The natural history of SRMs is mostly unknown. Initial active surveillance (AS) is a reasonable treatment option for small renal masses (SRMs) < 4 cm in the infirm patient with major comorbidities. Partial nephrectomy (PN) is the established treatment for T1a tumors, provided that the operation is technically feasible and the tumor can be completely removed. Laparoscopic and, most recently, robotic PN have functional and oncologic outcomes comparable to open PN, but are technically demanding procedures. Radical nephrectomy (RN) should be limited to those cases where the tumor is not amenable to PN. Percutaneous needle biopsy of SRMs can be safely performed and has the potential to characterize SRMs histologically. It is best utilized in conjunction with ablative technologies. However, ablative therapies should be reserved for carefully selected patients who are poor surgical candidates.",
keywords = "Active surveillance, Cryoablation, Localized renal cellular carcinoma, Partial nephrectomy, Radiofrequency ablation, Robotic-assisted laparoscopic nephrectomy, Small renal masses",
author = "Ahmed Alasker and Williams, {Steve K.} and Reza Ghavamian",
year = "2013",
month = "2",
doi = "10.1007/s11934-012-0296-3",
language = "English (US)",
volume = "14",
pages = "13--18",
journal = "Current Urology Reports",
issn = "1527-2737",
publisher = "Current Science, Inc.",
number = "1",

}

TY - JOUR

T1 - Small renal mass

T2 - To treat or not to treat

AU - Alasker, Ahmed

AU - Williams, Steve K.

AU - Ghavamian, Reza

PY - 2013/2

Y1 - 2013/2

N2 - An increasing number of small renal masses (SRMs) are being detected with modern cross-sectional imaging. The natural history of SRMs is mostly unknown. Initial active surveillance (AS) is a reasonable treatment option for small renal masses (SRMs) < 4 cm in the infirm patient with major comorbidities. Partial nephrectomy (PN) is the established treatment for T1a tumors, provided that the operation is technically feasible and the tumor can be completely removed. Laparoscopic and, most recently, robotic PN have functional and oncologic outcomes comparable to open PN, but are technically demanding procedures. Radical nephrectomy (RN) should be limited to those cases where the tumor is not amenable to PN. Percutaneous needle biopsy of SRMs can be safely performed and has the potential to characterize SRMs histologically. It is best utilized in conjunction with ablative technologies. However, ablative therapies should be reserved for carefully selected patients who are poor surgical candidates.

AB - An increasing number of small renal masses (SRMs) are being detected with modern cross-sectional imaging. The natural history of SRMs is mostly unknown. Initial active surveillance (AS) is a reasonable treatment option for small renal masses (SRMs) < 4 cm in the infirm patient with major comorbidities. Partial nephrectomy (PN) is the established treatment for T1a tumors, provided that the operation is technically feasible and the tumor can be completely removed. Laparoscopic and, most recently, robotic PN have functional and oncologic outcomes comparable to open PN, but are technically demanding procedures. Radical nephrectomy (RN) should be limited to those cases where the tumor is not amenable to PN. Percutaneous needle biopsy of SRMs can be safely performed and has the potential to characterize SRMs histologically. It is best utilized in conjunction with ablative technologies. However, ablative therapies should be reserved for carefully selected patients who are poor surgical candidates.

KW - Active surveillance

KW - Cryoablation

KW - Localized renal cellular carcinoma

KW - Partial nephrectomy

KW - Radiofrequency ablation

KW - Robotic-assisted laparoscopic nephrectomy

KW - Small renal masses

UR - http://www.scopus.com/inward/record.url?scp=84872385992&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84872385992&partnerID=8YFLogxK

U2 - 10.1007/s11934-012-0296-3

DO - 10.1007/s11934-012-0296-3

M3 - Article

VL - 14

SP - 13

EP - 18

JO - Current Urology Reports

JF - Current Urology Reports

SN - 1527-2737

IS - 1

ER -