TY - JOUR
T1 - Developments in kidney tumor nephrometry.
AU - Lieser, Gregory
AU - Simmons, Matthew N.
PY - 2011/5
Y1 - 2011/5
N2 - With the widespread use of computed tomography imaging, the majority of renal tumors are currently detected incidentally at lower grade and stage. Partial nephrectomy has become the preferred treatment for many of these smaller, lower-stage, organ-confined tumors. Compared with radical nephrectomy, partial nephrectomy is more technically difficult to perform. Specific tumor features such as tumor size, depth, location, and proximity to the kidney vasculature and urinary collecting system affect the difficulty of resection. Classically, feasibility of resection has been determined subjectively. Recently, 3 methodologies have been proposed to provide standard, more objective preoperative assessment of tumor anatomy. These "nephrometry" systems include the R.E.N.A.L., PADUA, and C-index systems. In this article, we review aspects of each of these systems, their similarities and differences, and their relevance to clinical practice and academic reporting.
AB - With the widespread use of computed tomography imaging, the majority of renal tumors are currently detected incidentally at lower grade and stage. Partial nephrectomy has become the preferred treatment for many of these smaller, lower-stage, organ-confined tumors. Compared with radical nephrectomy, partial nephrectomy is more technically difficult to perform. Specific tumor features such as tumor size, depth, location, and proximity to the kidney vasculature and urinary collecting system affect the difficulty of resection. Classically, feasibility of resection has been determined subjectively. Recently, 3 methodologies have been proposed to provide standard, more objective preoperative assessment of tumor anatomy. These "nephrometry" systems include the R.E.N.A.L., PADUA, and C-index systems. In this article, we review aspects of each of these systems, their similarities and differences, and their relevance to clinical practice and academic reporting.
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U2 - 10.3810/pgm.2011.05.2282
DO - 10.3810/pgm.2011.05.2282
M3 - Review article
C2 - 21566414
AN - SCOPUS:79960660312
SN - 0032-5481
VL - 123
SP - 35
EP - 42
JO - Postgraduate medicine
JF - Postgraduate medicine
IS - 3
ER -