Document Detail

Management of small renal tumors: an overview.
MedLine Citation:
PMID:  11343669     Owner:  NLM     Status:  MEDLINE    
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.
D N Reddan; G V Raj; T J Polascik
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The American journal of medicine     Volume:  110     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-09     Completed Date:  2001-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-62     Citation Subset:  AIM; IM    
Division of Nephrology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27705, USA.
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MeSH Terms
Carcinoma, Renal Cell* / pathology,  surgery
Kidney Neoplasms* / pathology,  surgery
Comment In:
Am J Med. 2001 Oct 15;111(6):507   [PMID:  11690588 ]

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