@Article{,
AUTHOR = {Matthew A. Uhlman, Scott C. Pate, James A. Brown},
TITLE = {Explosive growth of a renal tumor during  active surveillance},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {20},
YEAR = {2013},
NUMBER = {2},
PAGES = {6739--6741},
URL = {http://www.techscience.com/CJU/v20n2/61634},
ISSN = {1488-5581},
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.},
DOI = {}
}