Surveillance for the Management of Small Renal Masses
Surveillance is a new management option for small renal masses (SRMs) in aged and infirm patients with short-life expectancy. The current literature on surveillance of SRM contains mostly small, retrospective studies with limited data. Imaging alone is inadequ...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2008-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2008/196701 |
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| _version_ | 1832554539314577408 |
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| author | Mehmet Ozsoy Tobias Klatte Matthias Waldert Mesut Remzi |
| author_facet | Mehmet Ozsoy Tobias Klatte Matthias Waldert Mesut Remzi |
| author_sort | Mehmet Ozsoy |
| collection | DOAJ |
| description | Surveillance is a new management option for small renal masses (SRMs) in aged and
infirm patients with
short-life expectancy. The current literature on surveillance of SRM contains mostly small, retrospective studies with limited data. Imaging alone is inadequate for suggesting the aggressive potential of SRM for both diagnosis and followup. Current data suggest that a computed tomography (CT) or magnetic resonance imaging (MRI) every 3 months in the 1st year, every 6 months in the next 2 years, and every year thereafter, is appropriate for observation. The authors rather believe in active surveillance with mandatory initial and followup renal tumor biopsies than classical observation. Since not all SRMs are harmless, selection criteria for active surveillance need to be improved. In addition, there is need for larger studies in order to better outline oncological outcome and followup protocols. |
| format | Article |
| id | doaj-art-ff515cdead194738ae0196231e13296a |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-ff515cdead194738ae0196231e13296a2025-02-03T05:51:23ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/196701196701Surveillance for the Management of Small Renal MassesMehmet Ozsoy0Tobias Klatte1Matthias Waldert2Mesut Remzi3Department of Urology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaDepartment of Urology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaDepartment of Urology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaDepartment of Urology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaSurveillance is a new management option for small renal masses (SRMs) in aged and infirm patients with short-life expectancy. The current literature on surveillance of SRM contains mostly small, retrospective studies with limited data. Imaging alone is inadequate for suggesting the aggressive potential of SRM for both diagnosis and followup. Current data suggest that a computed tomography (CT) or magnetic resonance imaging (MRI) every 3 months in the 1st year, every 6 months in the next 2 years, and every year thereafter, is appropriate for observation. The authors rather believe in active surveillance with mandatory initial and followup renal tumor biopsies than classical observation. Since not all SRMs are harmless, selection criteria for active surveillance need to be improved. In addition, there is need for larger studies in order to better outline oncological outcome and followup protocols.http://dx.doi.org/10.1155/2008/196701 |
| spellingShingle | Mehmet Ozsoy Tobias Klatte Matthias Waldert Mesut Remzi Surveillance for the Management of Small Renal Masses Advances in Urology |
| title | Surveillance for the Management of Small Renal Masses |
| title_full | Surveillance for the Management of Small Renal Masses |
| title_fullStr | Surveillance for the Management of Small Renal Masses |
| title_full_unstemmed | Surveillance for the Management of Small Renal Masses |
| title_short | Surveillance for the Management of Small Renal Masses |
| title_sort | surveillance for the management of small renal masses |
| url | http://dx.doi.org/10.1155/2008/196701 |
| work_keys_str_mv | AT mehmetozsoy surveillanceforthemanagementofsmallrenalmasses AT tobiasklatte surveillanceforthemanagementofsmallrenalmasses AT matthiaswaldert surveillanceforthemanagementofsmallrenalmasses AT mesutremzi surveillanceforthemanagementofsmallrenalmasses |