Nathalie Garstka1, Shahrokh F Shariat1,2,3,4, Mesut Remzi1. 1. Department of Urology, Vienna General Hospital, Medical University of Vienna. 2. Karl-Landsteiner-Institute of Urology and Andrology, Vienna, Austria. 3. University of Texas Southwestern Medical Center, Dallas, Texas. 4. Department of Urology, Weill Cornell Medical College, New York City, New York, USA.
Abstract
PURPOSE OF REVIEW: To review the current literature concerning the role of biopsy for renal masses. RECENT FINDINGS: Improvements in biopsy techniques lead to a redefinition of the role of renal mass biopsy (RMB).Additionally, several studies highlighted the safety, high diagnostic accuracy, and very low rate of clinically relevant complications of RMB. As the knowledge about the nature of renal masses has expanded, and management options for small renal masses are increasing, the current indications for RMB and its role for the management of small renal masses are also expanding. SUMMARY: The future role of RMB will be influenced by the combination of pathological, molecular, and genetic information that will, heighten and improve our knowledge about these lesions and set the stage for risk-adapted personalized medicine.
PURPOSE OF REVIEW: To review the current literature concerning the role of biopsy for renal masses. RECENT FINDINGS: Improvements in biopsy techniques lead to a redefinition of the role of renal mass biopsy (RMB).Additionally, several studies highlighted the safety, high diagnostic accuracy, and very low rate of clinically relevant complications of RMB. As the knowledge about the nature of renal masses has expanded, and management options for small renal masses are increasing, the current indications for RMB and its role for the management of small renal masses are also expanding. SUMMARY: The future role of RMB will be influenced by the combination of pathological, molecular, and genetic information that will, heighten and improve our knowledge about these lesions and set the stage for risk-adapted personalized medicine.
Authors: Andrew W Silagy; Alejandro Sanchez; Brandon J Manley; Karim Bensalah; Axel Bex; Jose A Karam; Börje Ljungberg; Brian Shuch; A Ari Hakimi Journal: Eur Urol Focus Date: 2019-04-28