Office based biopsy of SRM

• 20 Aug 2021 06:30:12 PM
• |Onco Urology

Very interesting article – I read – I am putting a link

https://link.springer.com/content/pdf/10.1007/s11934-021-01059-5.pdf

 

I think kidney cancer is probably only cancer in urology or in body, where we do surgeries – without taking biopsy. However off late lot of discussion has come up for doing biopsy for SRM. This is because of the fact that if the mass is less than 1 cm then every alternate mass is benign in nature & of the size of mass is less than 3 cm then one in 4 are benign. This is alarming statistics. As now USG has become routine & to that extent even CT scans are done very liberally, we have started detecting small renal masses in large numbers. Often it is difficult to differentiate them on imaging as they may have enhancement & if we start operating, them, then we shall be doing surgeries for benign tumors. That's why especially in SRM, biopsy is needed. Next question is who will do biopsy. I personally feel, Urologists should be doing the biopsy, as we have clinical background of the patients. Since most urologists are now very familiar to USG, for any urologists to do biopsy should not pose any difficulty. It is good idea to start doing biopsy in small renal masses especially those less than 3 cm. Biopsy can be day care /office procedure, Can be done in LA, & no fear at all of needle tract seedling. This paradigm shift we have to accept & implement in clinical practice.

I am open to criticism & comments.