Small Renal Mass

被引：326

作者：

Gill, Inderbir S. ^{[1
]}

Aron, Monish ^{[1
]}

Gervais, Debra A. ^{[2
]}

Jewett, Michael A. S. ^{[3
]}

机构：

[1] Univ So Calif, Keck Sch Med, Inst Urol, Ctr Robot Surg & Adv Laparoscopy, Los Angeles, CA 90089 USA

[2] Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA

[3] Univ Toronto, Princess Margaret Hosp, Dept Surg Oncol, Div Urol, Toronto, ON, Canada

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 07期

关键词：

LAPAROSCOPIC PARTIAL NEPHRECTOMY; NEPHRON-SPARING SURGERY; CELL CARCINOMA; RADIOFREQUENCY ABLATION; RADICAL NEPHRECTOMY; TUMOR SIZE; PATHOLOGICAL FEATURES; COMPUTED-TOMOGRAPHY; ACTIVE SURVEILLANCE; NATURAL-HISTORY;

D O I：

10.1056/NEJMcp0910041

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 65-year-old man with a history of well-controlled hypertension presents for a follow-up visit after an incidental finding of a small mass in the right kidney on an abdominal computed tomographic (CT) scan. (The scan had been ordered to evaluate pain in the lower quadrant, which resolved.) The mass is 3.2 cm in its largest dimension, anterior, heterogeneous, and solid, and it is in the right renal hilum near the main renal artery, vein, and ureter; the left kidney appears normal. The patient feels well, and his physical examination is unremarkable. His serum creatinine level is 1.2 mg per deciliter (106 mu mol per liter). How should this patient be further evaluated and treated?

引用

页码：624 / 634

页数：11

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