Management of small renal tumors: an overview

The American Journal of Medicine
D N ReddanT J Polascik

Abstract

The incidental finding of a small renal mass poses a therapeutic dilemma. The traditional treatment of clinically important masses has been radical nephrectomy. Recently, nephron-sparing surgery has emerged as a viable alternative; and experimental minimally invasive percutaneous tissue ablation techniques, including cryotherapy and radiofrequency ablation, are being evaluated. In this review, we discuss the dilemma posed by frequent renal imaging and the increased proportion of incidental tumors being detected, the limitations of needle biopsies for histologic diagnosis, nephron-conserving and minimally invasive surgery, and the possible merits of radiofrequency ablation and cryotherapy. We envision a defined role for minimally invasive percutaneous or extracorporeal ablation of small renal tumors.

References

Jul 1, 1992·Journal of Clinical Ultrasound : JCU·M PorenaF Micali
May 1, 1995·International Journal of Urology : Official Journal of the Japanese Urological Association·Y HommaY Asakage
Jan 1, 1995·European Urology·D BretheauC Coulange
Jul 15, 1995·Cancer Genetics and Cytogenetics·W P ZhaoJ Whang-Peng
Oct 1, 1994·Journal of Endourology·N KatohS Ohshima
Jul 1, 1994·The Journal of Urology·M R LichtM Goormastic
Sep 19, 1996·The New England Journal of Medicine·R J MotzerD M Nanus
Feb 1, 1996·Journal of Endourology·J B AdamsL R Davoussi
Jan 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·G Kovacs
Oct 8, 1998·Urology·I S GillC M O'Malley
Dec 16, 1998·Lancet·N J Vogelzang, W M Stadler
May 11, 1999·JAMA : the Journal of the American Medical Association·W H ChowJ F Fraumeni
Nov 24, 1999·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·A BelldegrunR B Smith
Nov 24, 1999·Urology·J L DuqueS Kumar
Jan 27, 2000·The Journal of Urology·K H TsuiA Belldegrun
May 8, 2000·The Journal of Urology·I S GillA C Novick
Jun 12, 2002·Current Treatment Options in Oncology·B G Redman, A E Chang

❮ Previous
Next ❯

Citations

Nov 15, 2008·Advances in Urology·Sergio Almenar Medina, Ana Calatrava Fons
May 24, 2011·World Journal of Clinical Oncology·Yu-Feng Zhou
Feb 22, 2007·AJR. American Journal of Roentgenology·Michael D BelandRonald A DeLellis
Dec 21, 2007·AJR. American Journal of Roentgenology·Theodore J DubinskyJoo Ha Hwang
Feb 21, 2004·AJR. American Journal of Roentgenology·Raymond M HsuStanley S Siegelman
Aug 31, 2004·AJR. American Journal of Roentgenology·Kemal TuncaliStuart G Silverman
Dec 5, 2003·Clinical Radiology·K-W LuiP R Mueller
Mar 24, 2004·Clinical Radiology·I EshedA A Sidi
Feb 14, 2006·Nature Clinical Practice. Urology·Alessandro Volpe, Michael A S Jewett
Jan 9, 2007·Journal of Endourology·Brian K AugeThomas J Polascik
Jun 19, 2009·Abdominal Imaging·Ghazi AlshumraniTony Panzarella
Oct 5, 2011·Abdominal Imaging·Jason D IannuccilliWilliam W Mayo-Smith
May 25, 2005·Journal of the Chinese Medical Association : JCMA·Yi-You ChiouCheng-Yen Chang
Jul 3, 2004·Journal of Vascular and Interventional Radiology : JVIR·Anthony W KamBradford J Wood
Dec 17, 2010·Actas urologicas españolas·D Gallego VilarJ Gallego Gómez
Aug 18, 2009·The Journal of Urology·Dakun ZhangYongyan Gao
Jun 15, 2007·The Journal of Urology·Sascha PahernikJoachim W Thüroff
Nov 11, 2006·Urology·Paul S UribeAndrew C Peterson
Jan 7, 2004·International Journal of Urology : Official Journal of the Japanese Urological Association·Guorong LiJacques Tostain
Nov 9, 2010·BJU International·Matvey TsivianThomas J Polascik
Oct 25, 2011·Scandinavian Journal of Urology and Nephrology·Sascha PahernikMarkus Hohenfellner
Apr 12, 2003·Journal of Vascular and Interventional Radiology : JVIR·Dietrich SchultzeKenneth E Najarian
Feb 11, 2004·Cancer·Alessandro VolpeMichael A S Jewett
May 25, 2005·Annals of Biomedical Engineering·Xiaoming He, John C Bischof
Jul 11, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·M E ToledoP van der Stuyft
Jun 21, 2007·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·T A Leslie, J E Kennedy
Sep 1, 2005·Abdominal Imaging·J D SchillerP R Mueller
Sep 28, 2004·Clinical Cancer Research : an Official Journal of the American Association for Cancer Research·Andrew Hines-Peralta, S Nahum Goldberg

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.