Surgery for Renal Masses Ups Risk for AKI, Clinically Significant CKD
CKD risk is increased 3.9-fold for patients who undergo radical vs partial nephrectomy.
CKD risk is increased 3.9-fold for patients who undergo radical vs partial nephrectomy.
Routine renal mass biopsy for small renal masses can spare patients from having to undergo surgery and its associated complications and costs, according to a recent study.
A man aged 61 years was diagnosed with a large 8.8 cm right renal mass after an episode of painless gross hematuria prompted emergency department evaluation. An MRI of the abdomen demonstrated right renal vein tumor thrombus and indeterminate 1-2 cm retroperitoneal lymph nodes. Chest imaging was negative for distant metastases. After extensive discussion, the…
Researchers report long-term follow-up results showing no significant difference in oncologic outcomes among partial nephrectomy, radiofrequency ablation, and cryoablation for cT1 renal tumors.
Prospective study at Johns Hopkins shows excellent oncologic outcomes and preserved mental quality of life for all patients regardless of management strategy, with worse renal function after radical nephrectomy.
The document spells out in greater detail the criteria for radical and partial nephrectomy and for placing patients on active surveillance.
In a single-center study, 24% of patients crossed over to treatment and 95% of patients were alive after 5 years of follow-up.
All patients with an SRM should be considered for a biopsy when the results may alter management.