What are the risks 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

For patients who are candidates for intervention, counseling about active surveillance should include a frank discussion of the small but real risk of cancer progression, the lack of curative therapies if metastases develop, the possible loss of a chance for nephron-sparing surgery, and the limited data on active surveillance. Larger tumors (>3-4 cm) and those with an aggressive appearance (eg, infiltrative growth pattern) may pose increased risk and should be managed in a proactive manner if possible. [21]


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