KMID : 1001020100080030109
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Korean Journal of Urological Oncology 2010 Volume.8 No. 3 p.109 ~ p.114
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Active Surveillance of Small Renal Masses
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Oh Jong-Jin
Byun Seok-Soo
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Abstract
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Although nephron sparing surgery is the current standard management of small renal masses (SRM), active surveillance is an option in selected patients. The natural history of SRM still remains to be elucidated. Initial size and tumor growth rate seem to predict the risk of malignancy in retrospective studies, even though a proportion of SRM with absent or slow growth can express significant malignant behavior. Biologic markers to predict the tumor biology also need to be investigated in the future. At present, active surveillance of SRM should only be considered in selected patients with poor candidate for surgery.
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KEYWORD
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Kidney neoplasm, Natural history, Surveillance
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