Skip to main content
Journal cover image

Small renal mass biopsy--how, what and when: report from an international consensus panel.

Publication ,  Journal Article
Tsivian, M; Rampersaud, EN; del Pilar Laguna Pes, M; Joniau, S; Leveillee, RJ; Shingleton, WB; Aron, M; Kim, CY; DeMarzo, AM; Desai, MM ...
Published in: BJU Int
June 2014

To discuss the use of renal mass biopsy (RMB) for small renal masses (SRMs), formulate technical aspects, outline potential pitfalls and provide recommendations for the practicing clinician. The meeting was conducted as an informal consensus process and no scoring system was used to measure the levels of agreement on the different topics. A moderated general discussion was used as the basis for consensus and arising issues were resolved at this point. A consensus was established and lack of agreement to topics or specific items was noted at this point. Recommended biopsy technique: at least two cores, sampling different tumour regions with ultrasonography being the preferred method of image guidance. Pathological interpretation: 'non-diagnostic samples' should refer to insufficient material, inconclusive and normal renal parenchyma. For non-diagnostic samples, a repeat biopsy is recommended. Fine-needle aspiration may provide additional information but cannot substitute for core biopsy. Indications for RMB: biopsy is recommended in most cases except in patients with imaging or clinical characteristics indicative of pathology (syndromes, imaging characteristics) and cases whereby conservative management is not contemplated. RMB is recommended for active surveillance but not for watchful-waiting candidates. We report the results of an international consensus meeting on the use of RMB for SRMs, defining the technique, pathological interpretation and indications.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

BJU Int

DOI

EISSN

1464-410X

Publication Date

June 2014

Volume

113

Issue

6

Start / End Page

854 / 863

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Reproducibility of Results
  • Kidney Neoplasms
  • Kidney Diseases
  • Humans
  • Biopsy, Needle
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tsivian, M., Rampersaud, E. N., del Pilar Laguna Pes, M., Joniau, S., Leveillee, R. J., Shingleton, W. B., … Polascik, T. J. (2014). Small renal mass biopsy--how, what and when: report from an international consensus panel. BJU Int, 113(6), 854–863. https://doi.org/10.1111/bju.12470
Tsivian, Matvey, Edward N. Rampersaud, Maria del Pilar Laguna Pes, Steven Joniau, Raymond J. Leveillee, William B. Shingleton, Monish Aron, et al. “Small renal mass biopsy--how, what and when: report from an international consensus panel.BJU Int 113, no. 6 (June 2014): 854–63. https://doi.org/10.1111/bju.12470.
Tsivian M, Rampersaud EN, del Pilar Laguna Pes M, Joniau S, Leveillee RJ, Shingleton WB, et al. Small renal mass biopsy--how, what and when: report from an international consensus panel. BJU Int. 2014 Jun;113(6):854–63.
Tsivian, Matvey, et al. “Small renal mass biopsy--how, what and when: report from an international consensus panel.BJU Int, vol. 113, no. 6, June 2014, pp. 854–63. Pubmed, doi:10.1111/bju.12470.
Tsivian M, Rampersaud EN, del Pilar Laguna Pes M, Joniau S, Leveillee RJ, Shingleton WB, Aron M, Kim CY, DeMarzo AM, Desai MM, Meler JD, Donovan JF, Klingler HC, Sopko DR, Madden JF, Marberger M, Ferrandino MN, Polascik TJ. Small renal mass biopsy--how, what and when: report from an international consensus panel. BJU Int. 2014 Jun;113(6):854–863.
Journal cover image

Published In

BJU Int

DOI

EISSN

1464-410X

Publication Date

June 2014

Volume

113

Issue

6

Start / End Page

854 / 863

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Reproducibility of Results
  • Kidney Neoplasms
  • Kidney Diseases
  • Humans
  • Biopsy, Needle
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
  • 1103 Clinical Sciences