| REVIEW ARTICLE |
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| Year : 2023 | Volume
: 34
| Issue : 3 | Page : 117-123 |
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Small renal masses
Mandana Gholami1, Jihad Kaouk2, Homayoun Zargar3
1 College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab Emirates
2 Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA
3 Department of Surgery, University of Melbourne, Melbourne, Victoria, Australia
Correspondence Address:
Homayoun Zargar
University of Melbourne, Melbourne, Victoria
Australia
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/UROS.UROS_31_23
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Small renal masses (SRM) are defined as contrast-enhancing solid masses detected on diagnostic imaging, with a size of less than or equal to 4cm, corresponding to renal cell carcinoma stage T1a. These tumours are mainly benign, with an indolent nature and rare metastatic potential. Given the size and nature of these tumours, there has been a significant evolution and in management modalities of these tumours. These range from conventional radical approaches such as radical nephrectomy, partial nephrectomy, to more conservative approaches such as active surveillance, and some novel emerging management strategies such as various thermal ablation techniques. The treatment decision depends on patient factors such as age and co-morbidity, and tumour factor on radiological imaging, such as tumour size, location, growth rate and biopsy result. In this review, we aim to provide the latest updates on approaching SRM and various management modalities.
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