Management of Small Renal Masses in the Older Adult

• Autores: Moben Mirza
• Localización: Clinics in geriatric medicine, ISSN 0749-0690, Vol. 31, Nº. 4, 2015 (Ejemplar dedicado a: Geriatric Urology), págs. 603-613
• Idioma: inglés
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• Resumen

  • Small renal masses in older adults are common and usually found incidentally. Although many small renal masses are benign, most are malignant. In older patients, the small renal mass poses a challenge because the treatment paradigm has to strike the balance between competing comorbidities and a lethal cancer. Partial nephrectomy, mainly via robot-assisted technique, has gained favor over radical nephrectomy as the intervention of choice. Cryoablation and radiofrequency ablation are also viable treatment options and have a role to play in patients who desire treatment but either are not suitable surgical candidates or prefer not to have a surgical intervention.