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Current Role of Active Surveillance in the Management of a Small Renal Mass

Scott G Erpelding1, Jonathan Walker1, Ramakrishna Venkatesh2

  • 11Department of Urology, University of Kentucky, Lexington, KY 40536 USA.

Indian Journal of Surgical Oncology
|November 16, 2018
PubMed

Insights

Small renal masses (SRMs) detection is increasing due to advanced imaging. Surveillance for SRMs ≤4 cm may become more common, particularly for patients with less aggressive tumors or significant comorbidities.

Area of Science:

  • Urology
  • Oncology
  • Radiology

Background:

  • Renal cell carcinoma (RCC) represents 3-4% of adult malignancies.
  • Over 65,000 US kidney cancer cases were diagnosed in 2013.
  • Increased abdominal imaging has led to more small renal mass (SRM) detections.

Purpose of the Study:

  • To evaluate the potential for increased surveillance of small renal masses (SRMs).
  • To analyze the role of percutaneous renal mass biopsy in managing SRMs.
  • To identify patient groups who may benefit from SRM surveillance.

Main Methods:

  • Review of recent literature on percutaneous renal mass biopsy.
  • Retrospective data analysis of small renal masses.
  • Evaluation of factors influencing surveillance decisions.

Main Results:

  • Percutaneous renal mass biopsy is gaining importance.
  • Retrospective data support surveillance for select SRMs.
  • Factors like tumor aggressiveness, patient age, and comorbidities influence management.

Conclusions:

  • Surveillance for renal masses ≤4 cm is likely to increase.
  • This approach is particularly relevant for patients with less aggressive pathology, advanced age, and multiple comorbidities.
  • Further research into optimal surveillance strategies is warranted.
Keywords:
Active surveillanceCryoablationGrowth kineticsSmall renal mass

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