Management of small renal tumors: an overview.

Journal Article (Journal Article;Review)

The incidental finding of a small renal mass poses a therapeutic dilemma. The traditional treatment of clinically important masses has been radical nephrectomy. Recently, nephron-sparing surgery has emerged as a viable alternative; and experimental minimally invasive percutaneous tissue ablation techniques, including cryotherapy and radiofrequency ablation, are being evaluated. In this review, we discuss the dilemma posed by frequent renal imaging and the increased proportion of incidental tumors being detected, the limitations of needle biopsies for histologic diagnosis, nephron-conserving and minimally invasive surgery, and the possible merits of radiofrequency ablation and cryotherapy. We envision a defined role for minimally invasive percutaneous or extracorporeal ablation of small renal tumors.

Full Text

Duke Authors

Cited Authors

  • Reddan, DN; Raj, GV; Polascik, TJ

Published Date

  • May 2001

Published In

Volume / Issue

  • 110 / 7

Start / End Page

  • 558 - 562

PubMed ID

  • 11343669

International Standard Serial Number (ISSN)

  • 0002-9343

Digital Object Identifier (DOI)

  • 10.1016/s0002-9343(01)00650-7


  • eng

Conference Location

  • United States