Related Experiment Video
Updated: May 17, 2026
Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
[Small renal mass]
D Prokofiev1, N Kreutzer, A Kress
1Urologische Klinik, Klinikum Dortmund gGmbH, Münsterstr. 240, 44145 Dortmund, Deutschland. dennis.prokofiev@klinikumdo.de
Abstract:
The frequent application of ultrasound and radiological imaging for non-urological indications in recent years has resulted in an increase in the diagnosis of small renal masses. The treatment options for patients with a small renal mass include active surveillance, surgery (both open and minimally invasive) as well as ablative techniques. As there is a risk for metastatic spread even in small renal masses surgical extirpation remains the treatment of choice in most patients. Ablative procedures, such as cryoablation and radiofrequency ablation are appropriate for old and multi-morbid patients who require active treatment of a small renal mass. Active surveillance is an alternative for high-risk patients. Meticulous patient selection by the urologist and patient preference will determine the choice of treatment option in the future.
Insights
Small renal masses are increasingly diagnosed due to advanced imaging. Treatment options like surgery, ablation, or active surveillance depend on patient health and preference.
Area of Science:
- Urology
- Radiology
- Oncology
Context:
- Increased diagnosis of small renal masses due to widespread use of ultrasound and radiological imaging for non-urological reasons.
- Small renal masses present diverse treatment challenges and require careful consideration.
Purpose:
- To outline current treatment strategies for small renal masses.
- To emphasize the factors influencing treatment modality selection.
Summary:
- Surgical extirpation is often the primary treatment for small renal masses due to metastatic risk.
- Ablative techniques (cryoablation, radiofrequency ablation) suit elderly or multi-morbid patients.
- Active surveillance is a viable option for high-risk individuals.
Impact:
- Informs clinical decision-making for small renal mass management.
- Highlights the importance of personalized patient selection for optimal outcomes.
- Contributes to the evolving understanding of small renal mass treatment paradigms.
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