Renal Tumor Natural History: the Rationale and Role for Active Surveillance

被引：58

作者：

Jewett, Michael A. S. ^{[1
,2
]}

Zuniga, Alvaro ^{[3
]}

机构：

[1] Princess Margaret Hosp, Dept Surg Oncol, Div Urol, Toronto, ON M5G 2C4, Canada

[2] Univ Toronto, Univ Hlth Network, Toronto, ON M5G 2C4, Canada

[3] Univ Toronto, UroOncol Fellowship Program, Toronto, ON M5G 2C4, Canada

来源：

UROLOGIC CLINICS OF NORTH AMERICA | 2008年 / 35卷 / 04期

关键词：

Kidney tumors; Small renal mass; Watchful waiting; Active surveillance;

D O I：

10.1016/j.ucl.2008.07.004

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Renal cell carcinoma (RCC) is the most common malignancy of the kidney. Despite widespread treatment at diagnosis, overall mortality rates associated with RCC have not decreased. Partly because of the more frequent use of abdominal imaging, diagnosis as an incidental finding has increased. The largest increase in incidence is in tumors smaller than 4 cm, termed small renal masses (SRMs). SRMs that are RCC may frequently be growth slowly and have a low risk of early progression. Initial active surveillance with delayed treatment for progression for selected patients should be considered. This should result in an overall decrease in treatment burden and cost saving.

引用

页码：627 / 634

页数：8

共 95 条

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