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Most kidney tumours under 3 cm found by chance grow under 0.3 cm a year, rarely spread, and a fifth are benign. Surveillance with a biopsy for grade as the default in patients over 65, with a national registry and set triggers for surgery, could spare most of these operations.
The DISSRM registry and Canadian cohorts show growth under 0.3 cm per year and rare metastasis for small renal masses under surveillance. Propose surveillance with renal mass biopsy for grade as the default for masses under 3 cm in patients over 65, with a national registry and explicit intervention triggers.
Shares Overdiagnosis in cancer, Older and multimorbid patients are excluded and undertreated, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms, CT (computed tomography).
Shares Overdiagnosis in cancer, Older and multimorbid patients are excluded and undertreated, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms, CT (computed tomography).
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.