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Management of Localized and Locally Advanced Disease
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==== Indications for intervention (treatment or AS intensity) ==== ===== AUA ===== * '''<span style="color:#ff0000">2021 AUA (5)[https://www.auanet.org/guidelines/renal-cancer-renal-mass-and-localized-renal-cancer-guideline]:</span>''' *# '''<span style="color:#ff0000">Tumour size >3cm</span>''' *# '''<span style="color:#ff0000">Growth kinetics (>5mm/year)</span>''' *#* Caution if different imaging modalities are used due to normal variations in maximal tumor diameter and volume calculations; interreader variability may also be significant. *# '''<span style="color:#ff0000">Stage progression</span>''' *# '''<span style="color:#ff0000">Clinical changes in patient/tumour factors</span>''' (e.g. infiltrative on imaging, suspicion of advanced T stage) *# '''<span style="color:#ff0000">Additional biopsy results</span>''' (e.g. unfavourable histology) ===== CUA ===== *'''<span style="color:#ff0000">2022 CUA (4)</span>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932428/]''' *#'''<span style="color:#ff0000">Growth of tumor to >4 cm''' *#'''<span style="color:#ff0000">Consecutive growth rate >0.5 cm/year''' *#'''<span style="color:#ff0000">Progression to metastases''' *#'''<span style="color:#ff0000">Patient’s choice'''
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