Update on contemporary management of clinically localized renal cell carcinoma

J. J. Jorns, D. D. Thiel, Erik P Castle

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Renal cell carcinoma (RCC) continues to increase in incidence with the largest increase manifesting in small, organ-confined tumors. This review outlines the epidemiology and current data pertaining to the management of clinically-localized RCC. In this manuscript, the current data outlining the benefit of nephron sparing to the overall survival of the patient is described. The data pertaining to minimally invasive nephron sparing is also explained in detail. From laparoscopic and robotic partial nephrectomy to watchful waiting and percutaneous ablation, the urologist is continually assaulted with new data for the management of clinically-localized RCC. The data can be confusing, and much of it is conflicting. The addition of new scoring systems or nomograms may aid in predicting which therapy would be most beneficial in certain patient groups. New scoring systems may also predict the difficulty of surgical resection and predict surgical complications. The limitations of the data pertaining to the management of clinically-localized RCC are also outlined.

Original languageEnglish (US)
Pages (from-to)261-272
Number of pages12
JournalMinerva Urologica e Nefrologica
Volume64
Issue number4
StatePublished - Dec 2012

Fingerprint

Renal Cell Carcinoma
Nephrons
Watchful Waiting
Nomograms
Robotics
Nephrectomy
Epidemiology
Survival
Incidence
Neoplasms
Therapeutics

Keywords

  • Carcinoma, renal cell
  • Epidemiology
  • Nephrectomy
  • Outcome assessment (health care)
  • Patients
  • Robotics

ASJC Scopus subject areas

  • Nephrology
  • Urology

Cite this

Update on contemporary management of clinically localized renal cell carcinoma. / Jorns, J. J.; Thiel, D. D.; Castle, Erik P.

In: Minerva Urologica e Nefrologica, Vol. 64, No. 4, 12.2012, p. 261-272.

Research output: Contribution to journalArticle

@article{29c1db3032054fd09505b04cd00417e5,
title = "Update on contemporary management of clinically localized renal cell carcinoma",
abstract = "Renal cell carcinoma (RCC) continues to increase in incidence with the largest increase manifesting in small, organ-confined tumors. This review outlines the epidemiology and current data pertaining to the management of clinically-localized RCC. In this manuscript, the current data outlining the benefit of nephron sparing to the overall survival of the patient is described. The data pertaining to minimally invasive nephron sparing is also explained in detail. From laparoscopic and robotic partial nephrectomy to watchful waiting and percutaneous ablation, the urologist is continually assaulted with new data for the management of clinically-localized RCC. The data can be confusing, and much of it is conflicting. The addition of new scoring systems or nomograms may aid in predicting which therapy would be most beneficial in certain patient groups. New scoring systems may also predict the difficulty of surgical resection and predict surgical complications. The limitations of the data pertaining to the management of clinically-localized RCC are also outlined.",
keywords = "Carcinoma, renal cell, Epidemiology, Nephrectomy, Outcome assessment (health care), Patients, Robotics",
author = "Jorns, {J. J.} and Thiel, {D. D.} and Castle, {Erik P}",
year = "2012",
month = "12",
language = "English (US)",
volume = "64",
pages = "261--272",
journal = "Minerva Urologica e Nefrologica",
issn = "0393-2249",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "4",

}

TY - JOUR

T1 - Update on contemporary management of clinically localized renal cell carcinoma

AU - Jorns, J. J.

AU - Thiel, D. D.

AU - Castle, Erik P

PY - 2012/12

Y1 - 2012/12

N2 - Renal cell carcinoma (RCC) continues to increase in incidence with the largest increase manifesting in small, organ-confined tumors. This review outlines the epidemiology and current data pertaining to the management of clinically-localized RCC. In this manuscript, the current data outlining the benefit of nephron sparing to the overall survival of the patient is described. The data pertaining to minimally invasive nephron sparing is also explained in detail. From laparoscopic and robotic partial nephrectomy to watchful waiting and percutaneous ablation, the urologist is continually assaulted with new data for the management of clinically-localized RCC. The data can be confusing, and much of it is conflicting. The addition of new scoring systems or nomograms may aid in predicting which therapy would be most beneficial in certain patient groups. New scoring systems may also predict the difficulty of surgical resection and predict surgical complications. The limitations of the data pertaining to the management of clinically-localized RCC are also outlined.

AB - Renal cell carcinoma (RCC) continues to increase in incidence with the largest increase manifesting in small, organ-confined tumors. This review outlines the epidemiology and current data pertaining to the management of clinically-localized RCC. In this manuscript, the current data outlining the benefit of nephron sparing to the overall survival of the patient is described. The data pertaining to minimally invasive nephron sparing is also explained in detail. From laparoscopic and robotic partial nephrectomy to watchful waiting and percutaneous ablation, the urologist is continually assaulted with new data for the management of clinically-localized RCC. The data can be confusing, and much of it is conflicting. The addition of new scoring systems or nomograms may aid in predicting which therapy would be most beneficial in certain patient groups. New scoring systems may also predict the difficulty of surgical resection and predict surgical complications. The limitations of the data pertaining to the management of clinically-localized RCC are also outlined.

KW - Carcinoma, renal cell

KW - Epidemiology

KW - Nephrectomy

KW - Outcome assessment (health care)

KW - Patients

KW - Robotics

UR - http://www.scopus.com/inward/record.url?scp=84875341520&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875341520&partnerID=8YFLogxK

M3 - Article

VL - 64

SP - 261

EP - 272

JO - Minerva Urologica e Nefrologica

JF - Minerva Urologica e Nefrologica

SN - 0393-2249

IS - 4

ER -