Open Access
RESIDENT’S CORNER
Explosive growth of a renal tumor during active surveillance
Matthew A. Uhlman, Scott C. Pate, James A. Brown
Department of Urology, University of Iowa, Iowa City, Iowa, USA
Address correspondence to Dr. James A. Brown, Department
of Urology, University of Iowa, 200 Hawkins Dr., 3 RCP, Iowa
City, IA 52242-1089 USA
Canadian Journal of Urology 2013, 20(2), 6739-6741.
Abstract
The incidence of small renal masses (≤ 4 cm) has increased
over the past three decades. Partial nephrectomy remains
the standard for treatment of such lesions, but increased
attention is being given to patients who may benefit
from active surveillance, given the low risk of metastatic
spread and traditionally slow growth rates. Patients
with significant comorbidities and the elderly are often
considered optimal candidates for surveillance. We present
an 86-year-old female undergoing active surveillance for a
1.4 cm lesion that grew in diameter approximately 0.5 cm
per year over 3 years, followed by explosive growth to 7 cm
in diameter with a retrohepatic inferior vena cava (IVC)
thrombus over the subsequent 13 months.
Keywords
carcinoma, renal cell, active surveillance, tumor growth
Cite This Article
APA Style
Uhlman, M.A., Pate, S.C., Brown, J.A. (2013). Explosive growth of a renal tumor during active surveillance. Canadian Journal of Urology, 20(2), 6739–6741.
Vancouver Style
Uhlman MA, Pate SC, Brown JA. Explosive growth of a renal tumor during active surveillance. Can J Urology. 2013;20(2):6739–6741.
IEEE Style
M.A. Uhlman, S.C. Pate, and J.A. Brown, “Explosive growth of a renal tumor during active surveillance,” Can. J. Urology, vol. 20, no. 2, pp. 6739–6741, 2013.
Copyright © 2013 The Canadian Journal of Urology.