Open Access
RESIDENT’S CORNER
Explosive growth of a renal tumor during active surveillance
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
Cite This Article
Copyright © 2013 The Author(s). Published by Tech Science Press.This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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