title: Management of Small Renal Masses in the Older Adult.
abstract: Small renal masses in older adults are common and usually found incidentally. Although many small renal masses are benign, most are malignant. In older patients, the small renal mass poses a challenge because the treatment paradigm has to strike the balance between competing comorbidities and a lethal cancer. Partial nephrectomy, mainly via robot-assisted technique, has gained favor over radical nephrectomy as the intervention of choice. Cryoablation and radiofrequency ablation are also viable treatment options and have a role to play in patients who desire treatment but either are not suitable surgical candidates or prefer not to have a surgical intervention.
authors.affiliation: Division of Urologic Oncology, Department of Urology, University of Kansas, 3901 Rainbow Boulevard, MS 3016, Kansas City, KS 66160, USA. Electronic address: mmirza@kumc.edu.
authors.forename: Moben
authors.initials: M
authors.lastname: Mirza
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D019468:Disease Management; D006801:Humans; D007668:Kidney / Q000473:pathology*; D007680:Kidney Neoplasms / Q000601:surgery*; D009392:Nephrectomy / Q000379:methods*
keywords: Active surveillance; Kidney cancer; Partial nephrectomy; Renal cell carcinoma; Small renal mass