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    How kidney Ca management strategies compare

     

    The panel that developed an updated AUA guideline on localized kidney cancer has recognized great variance in patient/oncologic/functional characteristics and recommends individual counseling on therapeutic choices rather than basing such decisions on index (healthy vs. unhealthy) patients. Also new in the guideline: The guideline prioritizes partial nephrectomy in the management of cT1a renal masses and nephron-sparing approaches for patients with solitary kidneys, bilateral tumors, known familial RCC, pre-existing chronic kidney disease (CKD), or proteinuria.

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