Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies

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 pr...

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Main Authors: Malte W. Vetterlein, Tarun Jindal, Andreas Becker, Marc Regier, Luis A. Kluth, Derya Tilki, Felix K.-H. Chun
Format: Article
Language:English
Published: Korean Urological Association 2016-07-01
Series:Investigative and Clinical Urology
Subjects:
Online Access:https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-231.pdf
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author Malte W. Vetterlein
Tarun Jindal
Andreas Becker
Marc Regier
Luis A. Kluth
Derya Tilki
Felix K.-H. Chun
author_facet Malte W. Vetterlein
Tarun Jindal
Andreas Becker
Marc Regier
Luis A. Kluth
Derya Tilki
Felix K.-H. Chun
author_sort Malte W. Vetterlein
collection DOAJ
description 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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spelling doaj.art-6029b406f11a4e199dc97139943c969a2022-12-22T01:50:09ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2016-07-0157423123910.4111/icu.2016.57.4.231Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategiesMalte W. Vetterlein0Tarun Jindal1Andreas Becker2Marc Regier3Luis A. Kluth4Derya Tilki5Felix K.-H. Chun6University Medical Center Hamburg-EppendorfSSB Trauma CenterUniversity Medical Center Hamburg-EppendorfUniversity Medical Center Hamburg-EppendorfUniversity Medical Center Hamburg-EppendorfUniversity Medical Center Hamburg-EppendorfUniversity Medical Center Hamburg-EppendorfOver 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.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-231.pdfAblation techniques; Aged; Kidney neoplasms; Nephrectomy; Watchful waiting
spellingShingle Malte W. Vetterlein
Tarun Jindal
Andreas Becker
Marc Regier
Luis A. Kluth
Derya Tilki
Felix K.-H. Chun
Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
Investigative and Clinical Urology
Ablation techniques; Aged; Kidney neoplasms; Nephrectomy; Watchful waiting
title Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
title_full Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
title_fullStr Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
title_full_unstemmed Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
title_short Small renal masses in the elderly: Contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
title_sort small renal masses in the elderly contemporary treatment approaches and comparative oncological outcomes of nonsurgical and surgical strategies
topic Ablation techniques; Aged; Kidney neoplasms; Nephrectomy; Watchful waiting
url https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-231.pdf
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