Effect of delayed resection after initial surveillance and tumor growth rate on final surgical pathology in patients with small renal masses (SRMs)
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- 作者：Scott R. Hawken ; M.D. ; M.S.a ; Naveen K. Krishnan ; M.D. ; M.S.a ; Sapan N. Ambani ; M.D.a ; Jeffrey S. Montgomery ; M.D.a ; Elaine M. Caoili ; M.D.b ; James H. Ellis ; M.D.b ; Lakshmi P. Kunju ; M.D.c ; Khaled S. Hafez ; M.B. ; B.Ch.a ; David C. Miller ; M.D. ; M.P.H.a ; Alexander Kutikov ; M.D.d ; Ganesh S. Palapattu ; M.D.a ; Alon Z. Weizer ; M.D.a ; James Stuart Wolf ; M.D.a ; Todd M. Morgan ; M.D.a ; tomorgan@med.umich.edu" class="auth_mail" title="E-mail the corresponding author
- 关键词：Renal neoplasms ; Surveillance ; Delayed intervention ; Nephrectomy ; Renal cell carcinoma
- 刊名：Urologic Oncology: Seminars and Original Investigations
- 出版年：2016
- 出版时间：November 2016
- 年：2016
- 卷：34
- 期：11
- 页码：486.e9-486.e15
- 全文大小：205 K
文摘
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The effect of initial AS with delayed SRM resection vs. early resection was examined.
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Nephron-sparing surgery utilization was similar in delayed vs. early resection groups.
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AS with delayed SRM resection was not associated with worse pathologic outcomes.
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Faster growing SRMs on surveillance had greater risk of adverse pathologic outcomes.
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SRM risk stratification is increasingly important as AS is frequently used.