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Radiologic evaluation of small renal masses (II): posttreatment management

J Santos1, C Deltoro, M I Martín

  • 1Departamento de Radiología, Instituto Valenciano de Oncología, C/ Profesor Beltrán Báguena 8, 46009 Valencia, Spain. jsantosc63@gmail.com

Advances in Urology
|October 1, 2008
PubMed

Insights

Imaging is crucial for monitoring small renal masses (SRMs) after treatment. This review highlights how to detect complications, recurrence, and metastases using imaging techniques to preserve kidney function.

Area of Science:

  • Urology
  • Radiology
  • Oncology

Background:

  • Increasing detection of small renal masses (SRMs) necessitates updated management strategies.
  • Current trends favor less aggressive surgical techniques or active surveillance to preserve renal function.
  • Effective follow-up is essential for managing SRMs post-treatment.

Purpose of the Study:

  • To outline the imaging features of complications following surgical or ablative treatment of SRMs.
  • To describe the radiological detection of local recurrence and metastases from SRMs.
  • To emphasize the importance of diligent radiological follow-up for SRMs.

Main Methods:

  • Review of imaging findings in patients with SRMs undergoing various treatments.
  • Analysis of imaging characteristics indicative of post-treatment complications.
  • Evaluation of imaging for detecting local recurrence and distant metastases.

Main Results:

  • Imaging plays a vital role in assessing post-surgical changes and treatment complications.
  • Radiological follow-up is mandatory for SRMs treated with ablative therapies.
  • Specific imaging features can identify local recurrence and metastatic disease.

Conclusions:

  • Comprehensive imaging follow-up is critical for patients with small renal masses.
  • Radiology aids in the early detection of complications, recurrence, and metastases.
  • Preserving renal function is a key consideration in SRM management, guided by imaging.

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