Editing Management of Localized and Locally Advanced Disease (section)

== Answers ==

# What are the treatment options for a patient with localized kidney cancer?
## Radical nephrectomy
## Partial nephrectomy
## Thermal ablation
## Surveillance
# Which patients should be preferentially treated with partial over radical nephrectomy?
## Clinical T1a when technically feasible
## Solitary kidney (functional or anatomical)
## Bilateral tumours
## Multiple tumours
## Familial RCC syndrome
## Pre-existing CKD
## Risk of ESRD after RN
## Proteinuria
# When should nephrology referral be considered prior to surgical management of RCC?
## Confirmed proteinuria
## Diabetes with pre-existing CKD
## eGFR < 45
## Expected eGFR < 30 after intervention
# What are the indications of intervention in a patient on surveillance for a small renal mass?
## Tumour size >3cm
## Stage progression
## Growth kinetics (>5mm/year)
## Patient preference
# What clinical findings are suggestive of IVC involvement of a renal malignancy?
## Lower extremity edema
## Non-reducing or right-sided varicocele
## Dilated superficial abdominal veins
## Right atrial mass
## Proteinuria
## Pulmonary embolus
## Non function of the involved kidney
# What is the differential diagnosis of a large, invasive upper quadrant abdominal mass?
## Locally advanced RCC
## Urothelial Ca
## Adrenal Ca
## Sarcoma
## Lymphoma
# As per the CUA guidelines on follow-up after treatment for RCC, when is abdominal imaging indicated in a patient with pT1a disease?
#* 24 and 60 months