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Renal Mass Biopsy: An Evolution and Current Status

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Renal Mass Biopsy

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Abstract

Renal masses are diagnosed with an increasing incidence recently, especially as an incidental finding, due to the high frequency of imaging investigations being performed. Options of management for those situations are multiple, ranging from active surveillance (AS), ablation techniques, to partial or radical nephrectomies. Currently, most renal masses are managed based on imaging evaluation only. There are many shortcomings to this approach, due to limitations of radiologic techniques. This is especially true on specific masses where it can be difficult to differentiate benign from malignant features. Percutaneous renal mass biopsies (RMBs) may be of extreme value and can produce a tremendous impact on management of renal masses, providing a more accurate diagnosis and guiding management discussion with patients, as well as potentially avoiding unnecessary procedures and their associated morbidity. Contrary to initial studies and misconceptions, RMB has shown to have low morbidity, minimal risks, and excellent accuracy. The indications for RMB are increasing, and this approach may become the standard of care in the near future.

Memoriam

It is with great sadness that we were recently notified of the passing of Dr. Vladimir Mouraviev. Vlad, as we have come to know him, was a tireless academic scholar who was dedicated to advancing the field of genitourinary oncology. He made significant scientific contributions most notably in the area of prostate cancer and in the evolving role of focal therapy. This is where Vlad and I (Phil) began our collaborations as part of the prostate cancer cryotherapy on-line data (COLD) registry resulting in several high-quality peer-reviewed publications led by Dr. Mouraviev. Vlad will be greatly missed by all of us, and our field has lost one of its bright stars who was fully committed to the unrelenting search of optimizing the treatment outcomes of our patients. We thank him for his invaluable contributions and close friendship.

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Authors and Affiliations

  1. Department of Urology, University of South Florida, Tampa, FL, USA

    Julio Slongo

  2. Department of Surgery, Celebration Health, Florida Hospital Celebration, University of Central Florida, Celebration, FL, USA

    Michael W. McDonald

  3. Department of Diagnostic Imaging & Interventional Radiology, Moffitt Cancer Center, Tampa, FL, USA

    Nainesh Parikh

  4. Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, USA

    Wade J. Sexton

  5. Department of GU Oncology and Tumor Biology, Moffitt Cancer Center, Tampa, FL, USA

    Philippe E. Spiess

  6. Central Florida Cancer Institute, Nova Southeastern University, University of Central Florida, Davenport, FL, USA

    Vladimir Mouraviev

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  1. Julio Slongo
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  2. Michael W. McDonald
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  3. Nainesh Parikh
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  4. Wade J. Sexton
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  5. Philippe E. Spiess
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  6. Vladimir Mouraviev
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Correspondence to Julio Slongo .

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Editors and Affiliations

  1. Bethesda Center for Advanced Robotics, Bethesda Hospital East Bethesda Center for Advanced Robotics, Boynton Beach, FL, USA

    Raymond J. Leveillee

  2. Miller School of Medicine, University of Miami Health System, Miami, FL, USA

    Merce Jorda

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Slongo, J., McDonald, M.W., Parikh, N., Sexton, W.J., Spiess, P.E., Mouraviev, V. (2020). Renal Mass Biopsy: An Evolution and Current Status. In: Leveillee, R., Jorda, M. (eds) Renal Mass Biopsy. Springer, Cham. https://doi.org/10.1007/978-3-030-36036-8_4

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