[Active surveillance: concept for renal cell carcinoma?]

Area of Science:

• Oncology
• Geriatric Medicine
• Diagnostic Imaging

Context:

• Renal cell carcinoma (RCC) is often incidentally detected in elderly patients with comorbidities.
• High perioperative risks can make surgery unsuitable for this demographic.
• Active surveillance emerges as a crucial alternative to immediate surgical intervention.

Purpose:

• To explore the current status and viability of active surveillance for localized renal cell cancer in elderly patients.
• To highlight the benefits of avoiding surgery-related adverse effects.
• To emphasize the importance of monitoring tumor behavior for timely intervention.

Summary:

• The majority of renal cell carcinomas are discovered incidentally via ultrasound, frequently in elderly individuals with multiple health issues.
• For these patients, the risks associated with surgery may exceed the threat posed by the cancer itself.
• Active surveillance offers a method to manage localized renal cell cancer by observing tumor progression and intervening only when necessary.

Impact:

• Active surveillance provides a less invasive management option for elderly patients with localized renal cell cancer.
• This strategy aims to minimize treatment-related morbidity while effectively managing the cancer.
• It supports a shift towards personalized cancer care, balancing oncological outcomes with patient quality of life.