Small renal masses in kidney transplantation:Overview of clinical impact and management in donors and recipients

作     者：Alberto Piana Iulia Andras Pietro Diana Paolo Verri Andrea Gallioli Riccardo Campi Thomas Prudhomme Vital Hevia Romain Boissier Alberto Breda Angelo Territo European Association of Urology(EAU)Young Academic Urologists(YAU)Kidney Transplantation Working Group,Arnhem,Netherlands

作者机构：Department of UrologyFundacio PuigvertAutonoma University of BarcelonaSpain Department of UrologySan Luigi Gonzaga HospitalUniversity of TurinOrbassanoTurinItaly Urology DepartmentIuliu Hatieganu University of Medicine and Pharmacy and Municipal HospitalCluj-NapocaRomania Unit of Urological Robotic Surgery and Renal TransplantationUniversity of FlorenceCareggi HospitalFlorenceItaly Department of Experimental and Clinical MedicineUniversity of FlorenceFlorenceItaly Department of Urology and Kidney TransplantationToulouse University HospitalToulouseFrance Hospital Universitario Ramon y Cajal.Alcala UniversityInstituto Ramon y Cajal de Investigacion Sanitaria(IRYCIS)MadridSpain Aix-Marseille universiteservice de chirurgie urologique et de transplantation renaleCHU ConceptionAP-HMMarseilleFrance 

出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)

年 卷 期：2022年第9卷第3期

页      面：208-214页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Small renal mass Renal cancer Kidney transplantation Nephron-sparing treatment 

摘      要：Kidney transplantation is the best replacement treatment for the end-stage renal ***,the imbalance between the number of patients on a transplant list and the number of organs available constitutes the crucial limitation of this *** expand the pool of organs amenable for transplantation,kidneys coming from older patients have been employed;however,the combination of these organs in conjunction with the chronic use of immunosuppressive therapy increases the risk of incidence of graft small renal *** narrative review aims to provide the state of the art on the clinical impact and management of incidentally diagnosed small renal tumors in either donors or *** to the most updated evidence,the use of grafts with a small renal mass,after bench table tumor excision,may be considered a safe option for high-risk patients in *** the other hand,an early small renal mass finding on periodic ultrasound-evaluation in the graft should allow to perform a conservative treatment in order to preserve renal ***,in case of a renal tumor in native kidney,a radical nephrectomy is usually recommended.