The Natural History and Predictors for Intervention in Patients with Small Renal Mass Undergoing Active Surveillance
Joint Authors
Nativ, Ofer
Bahouth, Zaher
Meyer, Gil
Avitan, Ofir
Halachmi, Sarel
Moskovitz, Boaz
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Aim.
To describe the natural history of small renal mass on active surveillance and identify parameters that could help in predicting the need for intervention in patients with small renal masses undergoing active surveillance.
We also discuss the need for renal biopsy in the management of these patients.
Methods.
A retrospective analysis of 78 renal masses ≤4 cm diagnosed at our Urology Department at Bnai Zion Medical Center between September 2003 and March 2012.
Results.
Seventy patients with 78 small renal masses were analyzed.
The mean age at diagnosis was 68 years (47–89).
The mean follow-up period was 34 months (12–112).
In 54 of 78 masses there was a growth of at least 2 mm between imaging on last available follow-up and diagnosis.
Eight of the 54 (15%) masses which grew in size underwent a nephron-sparing surgery, of which two were oncocytomas and six were renal cell carcinoma.
Growth rate and mass diameter on diagnosis were significantly greater in the group of patients who underwent a surgery.
Conclusions.
Small renal masses might eventually be managed by active surveillance without compromising survival or surgical approach.
All masses that were eventually excised underwent a nephron-sparing surgery.
None of the patients developed metastases.
American Psychological Association (APA)
Bahouth, Zaher& Halachmi, Sarel& Meyer, Gil& Avitan, Ofir& Moskovitz, Boaz& Nativ, Ofer. 2015. The Natural History and Predictors for Intervention in Patients with Small Renal Mass Undergoing Active Surveillance. Advances in Urology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1054000
Modern Language Association (MLA)
Bahouth, Zaher…[et al.]. The Natural History and Predictors for Intervention in Patients with Small Renal Mass Undergoing Active Surveillance. Advances in Urology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1054000
American Medical Association (AMA)
Bahouth, Zaher& Halachmi, Sarel& Meyer, Gil& Avitan, Ofir& Moskovitz, Boaz& Nativ, Ofer. The Natural History and Predictors for Intervention in Patients with Small Renal Mass Undergoing Active Surveillance. Advances in Urology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1054000
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054000