[CCAFU Recommendations 2013: Renal cancer].
BACKGROUND
The renal sub Committee of the CCAFU established guidelines for diagnosis, treatment, evaluation and standard of care for renal cell carcinoma.


METHODS
2010 Guidelines were updated based on systematic literature search performed by the sub-Committee in Medline and PubMed databases to evaluate references, levels of evidence and grade of recommendation.


RESULTS
Multiphasic CT is the standard imaging technique for renal tumors diagnosis. Percutaneous renal biopsies are increasingly important for the management of localized RCC. Partial Nephrectomy is the first option when technically feasible for cT1 tumours. Open surgery remains the standard approach for locally advanced RCCs. New drugs are available for the treatment of metastatic RCC while the role of nephrectomy needs to be established by the Carmena trial.


CONCLUSIONS
Conservative and mini-invasive therapies are increasingly important for the management of localized RCC. Therapeutic armamentarium continues to increase in mRCC.
Membres experts du CCAFU. Electronic address: jean-jacques.patard@bct.aphp.fr.
J-J
JJ
Patard
H
H
Baumert
K
K
Bensalah
J-C
JC
Bernhard
P
P
Bigot
B
B
Escudier
N
N
Grenier
J-F
JF
Hétet
J-A
JA
Long
Membres experts du CCAFU.
A
A
Méjean
P
P
Paparel
Oncogénéticien
S
S
Richard
N
N
Rioux-Leclercq
Membres experts du CCAFU.
P
P
Coloby
M
M
Soulié
D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000628:therapy*; D003663:Decision Trees; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000628:therapy*
Cancer du rein Diagnostic; Diagnosis; Guidelines; Recommandations; Renal cell carcinoma; Standard of care; Traitement; Treatment