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Update in Radiology
Current management of small renal masses
Manejo actual de las masas renales pequeñas
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C. Martínez Rodríguez
Corresponding author
cmartinez@povisa.es

Corresponding author.
, G. Tardáguila de la Fuente, A.M. Villanueva Campos
Servicio de Radiología, Hospital Povisa, Vigo, Spain
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Received 10 April 2019. Accepted 22 November 2019
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Table 1. R.E.N.A.L. scoring systema.
Abstract

One of the consequences of the growing use of diagnostic imaging techniques is the notable growth in the detection of small renal masses presumably corresponding to localized tumours that are potentially curable with surgical treatment.

When faced with the finding of a small renal mass, radiologists must determine whether it is benign or malignant, and if it is malignant, what subtype it belong to, and whether it should be managed with surgical treatment, with ablative techniques, or with watchful waiting with active surveillance.

Small renal masses are now a clinical entity that require management different from the approaches used for classical renal cell carcinomas. In this scenario, radiologists are key because they are involved in all aspects of the management of these tumours, including in their diagnosis, treatment, and follow-up.

Keywords:
Small renal masses
Nephrectomy
Ablative treatment
Watchful waiting
Resumen

Una de las consecuencias derivadas del uso creciente de las técnicas de diagnóstico por imagen ha sido el notable incremento en la detección de masas renales pequeñas que presumiblemente corresponden a tumores localizados, potencialmente curables con tratamiento quirúrgico.

Ante el hallazgo de una masa renal pequeña incidental se deben plantear varias cuestiones: si es un tumor; si es benigno o maligno y si es maligno a qué subtipo pertenece, y finalmente cómo debe ser manejado, si con tratamiento quirúrgico, con técnicas ablativas o, por el contrario, con actitud expectante mediante vigilancia activa.

En la actualidad, las masas renales pequeñas constituyen una nueva entidad clínica de manejo diferente al establecido hasta ahora para los carcinomas de células renales clásicos. En este escenario, los radiólogos tienen que asumir su importante papel, ya que están implicados en todos los aspectos del manejo de estos tumores, incluido el diagnóstico, el tratamiento y el seguimiento.

Palabras clave:
Masas renales pequeñas
Nefrectomía
Tratamiento ablativo
Vigilancia activa

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