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Management of Localized and Locally Advanced Disease
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===== AUA ===== *'''<span style="color:#ff0000">[https://pubmed.ncbi.nlm.nih.gov/28479239/ 2021 AUA Guidelines on Renal Mass and Localized Renal Cancer]</span>''' ** '''<span style="color:#ff0000">Absolute (3):</span>''' **# '''<span style="color:#ff0000">Anatomic or functionally solitary kidney</span>''' **# '''<span style="color:#ff0000">Bilateral tumors</span>''' **# '''<span style="color:#ff0000">Known familial RCC syndrome</span>''' ** '''<span style="color:#ff0000">Relative (4):</span>''' **# '''<span style="color:#ff0000">cT1a renal masses (preferred over TA and RN)</span>''', not managed with active surveillance **# '''<span style="color:#ff0000">Pre-existing CKD</span>''' **# '''<span style="color:#ff0000">Pre-existing proteinuria</span>''' **# '''<span style="color:#ff0000">Young age</span>''' **# '''<span style="color:#ff0000">Multifocal masses</span>''' **# '''<span style="color:#ff0000">Comorbidities that are likely to impact future renal function, including (4):</span>''' **## '''<span style="color:#ff0000">Moderate to severe hypertension</span>''' **## '''<span style="color:#ff0000">Diabetes mellitus</span>''' **## '''<span style="color:#ff0000">Recurrent urolithiasis</span>''' **## '''<span style="color:#ff0000">Morbid obesity</span>'''
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