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KMID : 1011820160570040231
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Investigative and Clinical Urology
2016 Volume.57 No. 4 p.231 ~ p.239
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Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
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Malte W. Vetterlein
Tarun Jindal
Andreas Becker
Luis A. Kluth
Marc Regier
Derya Tilki
Felix K.-H. Chun
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Abstract
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Over the last decades, there has been a significant stage migration in renal cell carcinoma and especially older patients are getting diagnosed more frequently with low stage disease, such as small renal masses ≤4 cm of size. Considering the particular risk profile of an older population, often presenting with a nonnegligible comorbidity profile and progressive renal dysfunction, treatment approaches beyond aggressive radical surgical procedures have come to the fore. We sought to give a contemporary overview of the available different treatment strategies for incidental small renal masses in an elderly population with the focus on comparative oncological outcomes of nonsurgical and surgical modalities.
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KEYWORD
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Ablation techniques, Aged, Kidney neoplasms, Nephrectomy, Watchful waiting
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