Approach to the Small Renal Mass: to Treat or Not to Treat

被引:6
作者
Kim, Simon P. [1 ]
Thompson, R. Houston [1 ]
机构
[1] Mayo Clin, Dept Urol, Rochester, MN 55905 USA
关键词
Active surveillance; Kidney cancer; Nephrectomy; Renal cell carcinoma; Small renal masses; Surgery; Survival; Treatment decisions; NEPHRON-SPARING SURGERY; CELL CARCINOMA; RADICAL NEPHRECTOMY; ACTIVE SURVEILLANCE; UNITED-STATES; COMPUTED-TOMOGRAPHY; PROGNOSTIC MODEL; RISING INCIDENCE; NATURAL-HISTORY; CANCER;
D O I
10.1016/j.ucl.2012.01.003
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Accurately conveying the benefits and risks of treatment interventions to patients diagnosed with small renal masses (SRMs) is essential to appropriately identify which patients will achieve better oncologic outcomes and confer a survival advantage from primary therapy. Treatment decisions to determine the ideal management with nephrectomy, thermal ablation, or active surveillance for patients diagnosed with an SRM remain highly complex. Existing prediction tools that incorporate various key clinical variables may facilitate an informed decision about the best management of SRM by more appropriately selecting treatment individualized to the characteristics of the SRM and the patient's clinical characteristics.
引用
收藏
页码:171 / +
页数:10
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