Recommendations Developed for Small Renal Mass Management

Share this content:
Recommendations Developed for Small Renal Mass Management
Recommendations Developed for Small Renal Mass Management

WEDNESDAY, Jan. 18, 2017 (HealthDay News) -- In a clinical practice guideline published online Jan. 16 in the Journal of Clinical Oncology, recommendations are presented for the management of patients with small renal masses (SRMs).

Antonio Finelli, M.D., from the Princess Margaret Cancer Center in Toronto, and colleagues provide recommendations for management of patients with SRMs. Data were reviewed from 83 studies, including 20 systematic reviews and 63 primary studies.

The authors note that when the results may alter management, all patients with an SRM should be considered for a biopsy, on the basis of tumor-specific findings and competing risks of mortality. For patients with significant comorbidities and limited life expectancy, active surveillance should be an initial management option. Partial nephrectomy (PN) is the standard treatment for SRMs and should be offered to all patients with indication for an intervention and who have a tumor suited for this approach. If complete ablation can reliably be achieved, percutaneous thermal ablation should be considered. Radical nephrectomy should be reserved for patients with a tumor of significant complexity that is not suited to PN or for whom PN may result in unacceptable morbidity even when performed at centers with expertise.

"Given our current understanding of the natural history of SRMs, studies are required to more accurately characterize these lesions beyond histopathology such that the true metastatic potential can be appreciated and guide management decisions," the authors write.

Several authors disclosed financial ties to the biopharmaceutical industry.

Full Text

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions

More in Home

Higher Fish Intake Appears to Reduce RA Symptoms

Higher Fish Intake Appears to Reduce RA Symptoms

Researchers suggest most varieties of fish may play a role in controlling symptoms

Longer Survival for Midostaurin  Chemotherapy in AML With FLT3

Longer Survival for Midostaurin + Chemotherapy in AML ...

Prolonged overall, event-free survival for patients with acute myeloid leukemia, FLT3 mutation

HIV Testing Inadequate in Young Men Who Have Sex With Men

HIV Testing Inadequate in Young Men Who Have ...

Only 28 percent of young MSM have HIV testing, though they account for 83 percent of new diagnoses

is free, fast, and customized just for you!

Already a member?

Sign In Now »