Active Surveillance for Small Renal Masses

Reviews in Urology

Elias S Hyams¹  Phillip M Pierorazio¹  Mohamad E Allaf¹  Jeffrey K Mullins¹ 

[1] Brady Urological Institute, Johns Hopkins University, Baltimore, MD

关键词: Small renal mass;    Renal cell carcinoma;    Active surveillance;   

DOI  :  

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

Small renal masses (SRMs; ≤ 4 cm in dimension) have rapidly risen in incidence in recent decades and pose an increasingly common management dilemma in urology. SRMs are biologically heterogeneous and a wide variety of treatments exist with favorable oncologic outcomes. Active surveillance (AS) has emerged as a viable option for those not desiring surgery or those who are suboptimal candidates for surgery, with < 2% of patients progressing to metastatic disease in retrospective and prospective studies. This article reviews the current data regarding AS for SRM, operational considerations for an AS program, and criteria for safely selecting patients for this treatment strategy.

【 授权许可】

Unknown