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• W2159968195 abstract "You have accessJournal of UrologyImaging/Radiology: Uroradiology (I)1 Apr 20132025 POPULATION-BASED DETECTION AND FOLLOW-UP OF SMALL RENAL MASSES (<4CM) USING CROSS-LINKED DATABASE METHODOLOGY: INTERMEDIATE OUTCOMES Campbell Tait, Ghulam Nabi, and Chi Cheung Campbell TaitCampbell Tait Dundee, United Kingdom More articles by this author , Ghulam NabiGhulam Nabi Dundee, United Kingdom More articles by this author , and Chi CheungChi Cheung Dundee, United Kingdom More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2444AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Incidental asymptomatic Small Renal Masses (SRMs) are increasingly discovered on cross sectional imaging. We describe a population-based protocol driven management of these lesions in a defined geographical area. METHODS All incidentally identified SRMs were reviewed in Multidisciplinary Cancer Meetings (MCM) between January 2007 to January 2012 in a population of over half a million. Lesions less than 3 cm were offered a repeat imaging every six monthly with review in the MCMs by the same radiologists. Data was obtained for reason for detection, location, morphology, interventions, pathology and survival using multiple healthcare databases by cross-linked methodology. . The reasons for interventions and pathological outcomes were noted. RESULTS Over a period of 5 years, SRMs were detected most frequently by CT scan of abdomen for unrelated causes followed by Ultrasound and MRI. Two hundred and ten SRMs were diagnosed during the study period in 190 patients with a mean age: 66.6 ± 13.13 years. Eighty four patients had surgical intervention and 116 are continuing to on follow-up protocol. The reasons for surgical interventions were: patients' choice and increase in size of masses on serial imaging. Amongst the 40% of patients requiring surgical intervention over median follow-up of 2.6 years; one in five had benign histopathology. The rate of growth on serial imaging of those who were resected was 2.81±3.93 cm/year with no differences between benign and malignant histology. Sixteen percent (7.6%) decreased in size with most in the first year of the follow-up. One hundred and ten lesions are continuing to be under radiological follow-up (sixteen lesions were discharged from follow-up due to other competing causes of morbidity) with 55% showed no change in size. CONCLUSIONS Majority of small renal masses (60%) can be safely followed-up safely; however a significant number would require interventions. Role of pre-intervention biopsy should be considered in order to minimise the risk of unnecessary interventions in those with benign histology. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e831 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Campbell Tait Dundee, United Kingdom More articles by this author Ghulam Nabi Dundee, United Kingdom More articles by this author Chi Cheung Dundee, United Kingdom More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2159968195 title "2025 POPULATION-BASED DETECTION AND FOLLOW-UP OF SMALL RENAL MASSES (<4CM) USING CROSS-LINKED DATABASE METHODOLOGY: INTERMEDIATE OUTCOMES" @default.
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