Recommendations released for management of small renal masse
In a clinical practice guideline published in the Journal of Clinical Oncology, recommendations are presented for the management of patients with small renal masses (SRMs).

The authors note that when the results may alter management, all patients with an SRM should be considered for a biopsy, on the basis of tumor-specific findings and competing risks of mortality. For patients with significant comorbidities and limited life expectancy, active surveillance should be an initial management option. Partial nephrectomy (PN) is the standard treatment for SRMs and should be offered to all patients with indication for an intervention and who have a tumor suited for this approach. If complete ablation can reliably be achieved, percutaneous thermal ablation should be considered. Radical nephrectomy should be reserved for patients with a tumor of significant complexity that is not suited to PN or for whom PN may result in unacceptable morbidity even when performed at centers with expertise....