Management of Small Renal Masses(beta)
Active surveillance should be an initial management option for patients who have significant comorbidities and limited life expectancy. Qualifying statement: absolute indication: high risk for anesthesia and intervention or life expectancy <5 years; relative indication: significant risk of end-stage renal disease if treated, small renal mass (<1 cm), or life expectancy <10 years.
Radical nephrectomy for small renal masses should be reserved only for patients who possess a tumor of significant complexity that is not amenable to partial nephrectomy (PN) or where PN may result in unacceptable morbidity even when performed at centers with expertise. Referral to a surgeon and a center with experience in PN should be considered.
How strong is the ASCO's recommendation?