Treatment management of small renal masses in the 21st century: A paradigm shift

Maxine Sun, Firas Abdollah, Marco Bianchi, Quoc Dien Trinh, Claudio Jeldres, Rodolphe Thuret, Zhe Tian, Shahrokh F. Shariat, Francesco Montorsi, Paul Perrotte, Pierre I. Karakiewicz

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Partial (PN) or radical nephrectomy (RN) represents the standard of care for patients with small renal masses. Active surveillance (AS) also may be considered. We examined the rates of PN, RN, and AS within a contemporary population-based cohort. Methods. Using the surveillance, epidemiology and end results database, we identified 26,468 patients diagnosed with T1aN0M0 renal cell carcinoma, between years 1988 and 2008. Determinants of PN and AS were assessed using logistic regression analyses within surgically managed patients and within the entire cohort, respectively. Results. Overall, 8,966 (34%), 14,705 (56%), and 2,797 (11%) patients underwent PN, RN, and AS, respectively. The rate of PN increased (4.7% in 1988 to 40.4% in 2008, P

Original languageEnglish
Pages (from-to)2380-2387
Number of pages8
JournalAnnals of Surgical Oncology
Volume19
Issue number7
DOIs
Publication statusPublished - Jul 2012

ASJC Scopus subject areas

  • Surgery
  • Oncology

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