eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
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5/2020
vol. 16
 
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Urology
abstract:
State of the art paper

Active surveillance and focal ablation for small renal masses: a better solution for comorbid patients

Piotr Wośkowiak
1
,
Katarzyna Lewicka
1
,
Adrianna Bureta
1
,
Maciej Salagierski
1

1.
The Faculty of Medicine and Health Sciences, University of Zielona Gora, Zielona Gora, Poland
Arch Med Sci 2020; 16 (5): 1111–1118
Online publish date: 2019/07/11
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The natural history of small renal masses (SRM) is still not well understood and they are frequently incidentally diagnosed in elderly patients. Therefore, there is a need for less invasive options sparing the patient from the side-effects related to conventional surgical treatment. PubMed and Medline database search was performed to look for new findings on active surveillance and focal therapy for SRM. Sixty-one articles published between 2002 and 2018 were selected for the purpose of the review. There is growing evidence confirming the safety of active surveillance in patients at surgical risk and there appears to be a satisfactory intermediate-term outcome of focal treatment of SRM. In the group of elderly patients with a decreased life expectancy active surveillance appears to be the most appropriate approach. The future of minimally invasive therapy appears bright, especially with the improvement of new imaging modalities.
keywords:

small renal mass, kidney, active surveillance, ablation, focal therapy

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