Active surveillance for young patients with small renal masses

Active surveillance is increasingly being used for the management of small renal masses. However, questions remain regarding the safety and durability of active surveillance in younger patients. Two hundred and twenty four (224) patients aged 60 or younger were included in the study and followed for an average of 4.9 years. 30.4% of these patients […]

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Percutaneous thermoablation for small renal masses

This study looked at the survival of patients suitable for surgery who underwent percutaneous thermoablation as a first-line treatment for small renal masses (stage T1a). Eighty-five patients who were suitable for surgery were included in the study. These patients had 97 kidney masses that were proven to be malignant (cancerous) with a biopsy (T1a). These […]

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Triggers for intervention in patients with small renal masses undergoing active surveillance

Patients with small renal masses are often over diagnosed and over treated. Kidney cancer guidelines recommend active surveillance for some patients; however, this is not often used by clinicians. A reason for this is a lack of agreement on the factors that prompt intervention. This review looks at 1870 patients from 10 studies undergoing active […]

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Psychological distress in patients undergoing active surveillance for small renal masses

Around half of all cases of renal cell carcinoma (RCC) are incidentally diagnosed on imaging as small renal masses, clinical stage T1a and smaller than 4 cm. Around 30% of small renal masses are found to be benign. The management of small renal masses is under debate, including whether a biopsy should be performed for […]

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Cryoablation is safe and effective for small kidney tumours

A new study published in the American Journal of Roentgenology confirms that image-guided percutaneous cryoablation is a safe and efficacious treatment for selected small renal cell carcinoma (RCC) tumours. Cryoablation is a non-invasive technique, which involves ‘freezing’ the tumour using fine needles inserted through the skin (percutaneous). This technique has not yet been widely adopted […]

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Biopsy of small renal massess

The question as to whether to biopsy small renal masses or not is debated by two kidney cancer experts; Professor Jaime Landman from University of California Irvine Medical Centre in the US, and Professor Michael Staehler from the Ludwig- Maximilian University in Munich, Germany.  The experts discuss whether patients with small renal masses should be […]

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Active surveillance of small kidney masses has good outcomes

This article reviews the information about active surveillance (AS) of small renal masses, and comes to the conclusion that the outcomes are excellent. The article discusses the pros and cons of using ultrasound imaging and biopsies to monitor the renal masses. The results of this review were presented at the 15th International Kidney Cancer Symposium, held […]

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