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Published in Renal Cell Carcinoma

Expert Opinion / Cases · July 03, 2014

Symptomatic Renal Mass in Poor Surgical Candidate

Written by
Tony Nimeh MD


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  • Fernando Vázquez-Alonso MD, PhD

    Aug 07, 2014

    If the ablative techniques can not be practiced because the mass is invading the renal pelvis, I think one possibility might be to practice an embolization of the mass after a renal angiography as a no invasive and palliative alternative.
    We could control the hematuria and keep the renal function.

  • Tony Nimeh MD

    Tony  Nimeh MD

    Aug 14, 2014

    If ablation is not an option, would you consider any chemotherapeutic agents once the current symptoms have been controlled?

  • Fernando Vázquez-Alonso MD, PhD

    Aug 16, 2014

    First, I would try to practice an embolization. But, if it was not successful, I would consider target therapies as an alternative treatment, with a prior biopsy of the renal mass.
    I have a little experience with target therapies for treatment of the complicated small renal masses with very good results.
    Vázquez-Alonso F, Puche-Sanz I, Flores Martín JF et al. The role of the therapies in the treatment of small renal masses. Arch Esp Urol 2013 Jan-Feb 66(1):186-191.

  • Apr 13, 2024

    Pending Moderator approval.

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