TY - JOUR
T1 - Management of small renal tumors
T2 - An overview
AU - Reddan, D. N.
AU - Raj, G. V.
AU - Polascik, T. J.
N1 - Funding Information:
Dr. Reddan is supported by a National Kidney Foundation Research Fellowship Grant.
PY - 2001/5
Y1 - 2001/5
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0035345009&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035345009&partnerID=8YFLogxK
U2 - 10.1016/S0002-9343(01)00650-7
DO - 10.1016/S0002-9343(01)00650-7
M3 - Review article
C2 - 11343669
AN - SCOPUS:0035345009
SN - 0002-9343
VL - 110
SP - 558
EP - 562
JO - The American Journal of Medicine
JF - The American Journal of Medicine
IS - 7
ER -