What is the role of active surveillance in the treatment of renal cell carcinoma (RCC)?

Updated: May 21, 2019
  • Author: Kush Sachdeva, MD; Chief Editor: E Jason Abel, MD  more...
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Answer

Active surveillance may be an acceptable approach to delay or avoid further intervention in the patient at high surgical risk. Candidates for active surveillance include selected patients older than 70 years who have asymptomatic renal masses and slow growth documented on serial imaging. A retrospective single-institution review of 51 patients showed no metastatic spread with a median follow-up of almost 6 years; only 2 patients required surgical intervention for local progression or symptoms. [25]


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