| Incidentally detected small renal masses - investigation and management. | |
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MedLine Citation:
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PMID: 22003479 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background With increasing use of imaging to diagnose other conditions, incidentally detected small renal masses and cysts are now a common clinical scenario for both the general practitioner and the urologist. Objective This article outlines a diagnostic and management approach to the incidental finding of a small renal mass or cyst. Discussion Renal cell carcinoma represent 2-3% of all cancers and more than 50% of these are detected incidentally. Small renal masses are defined as renal masses less than 4 cm in diameter. They comprise a heterogeneous group of lesions; 20% are benign and only 20-25% prove to be potentially aggressive kidney cancers at the time of diagnosis. Work-up involves a full history, looking for evidence of paraneoplastic syndromes and examination, which is usually normal. Recommended blood tests include basic biochemistry and haematology, and imaging. A four phase contrasted computerised tomography scan of the kidneys allows a detailed examination of each aspect of the functional anatomy of the kidney, which can help approximate risk of malignancy and direct management. Not all patients with small renal masses require a biopsy. However, biopsy is required in patients who opt for active surveillance or ablative therapy. Management options include surveillance, surgery and ablative techniques. |
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Authors:
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Kantha Rao; Peter L Royce |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Australian family physician Volume: 40 ISSN: 0300-8495 ISO Abbreviation: Aust Fam Physician Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0326701 Medline TA: Aust Fam Physician Country: Australia |
Other Details:
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Languages: eng Pagination: 776-82 Citation Subset: IM |
Affiliation:
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MBBS(Malaysia), MS(Malaysia), FRCS(Urol), is Urology Fellow, Department of Urology, Alfred Hospital, Melbourne, Victoria and a urologist, Kuala Lumpur Hospital, Malaysia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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