Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Kidney cancer

Developing objective criteria to characterize renal masses

The R.E.N.A.L. system for classifying tumors aims to predict the surgical challenges of partial nephrectomy. However, the factors involved in surgical planning are many and complex, and are not adequately addressed in this simplified system. The inclusion of oncological features and a 'surgical skills factor' might contribute to its widespread utility.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Ljungberg, B. et al. Renal cell carcinoma guideline. Eur. Urol. 51, 1502–1510 (2007).

    Article  PubMed  Google Scholar 

  2. Kutikov, A. & Uzzo, R. G. The R.E.N.A.L. nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J. Urol. 182, 844–853 (2009).

    Article  PubMed  Google Scholar 

  3. Anderson, J. K., Kabalin, J. N. & Cadeddu, J. U. in Campbell-Walsh Urology 9th edn (eds Wein, A. J., Kavoussi, L. R., Novick, A. C., Partin, A. W. & Peters, C. A.) 13–37 (Saunders Elsevier, Philadelphia, 2007).

    Google Scholar 

  4. Schrader, A. J. et al. Urinary collecting system invasion in renal cell carcinoma: incidence and long-term prognosis. Int. J. Urol. 16, 718–722 (2009).

    Article  PubMed  Google Scholar 

  5. Verhoest, G. et al. Urinary collecting system invasion is an independent prognostic factor of organ confined renal cell carcinoma. J. Urol. 182, 854–859 (2009).

    Article  PubMed  Google Scholar 

  6. Coll, D. M., Herts, B. R., Davros, W. J., Uzzo, R. G. & Novick, A. C. Preoperative use of 3D volume rendering to demonstrate renal tumors and renal anatomy. Radiographics 20, 431–438 (2000).

    Article  CAS  PubMed  Google Scholar 

  7. Wunderlich, H., Reichelt, O., Schubert, R., Zermann, D. H. & Schubert, J. Preoperative simulation of partial nephrectomy with three-dimensional computed tomography. BJU Int. 86, 777–781 (2000).

    Article  CAS  PubMed  Google Scholar 

  8. Graser, A. et al. Dual-energy CT in patients suspected of having renal masses: can virtual nonenhanced images replace true nonenhanced images? Radiology 252, 433–440 (2009).

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Staehler.

Ethics declarations

Competing interests

The author declares no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Staehler, M. Developing objective criteria to characterize renal masses. Nat Rev Urol 6, 638–639 (2009). https://doi.org/10.1038/nrurol.2009.232

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrurol.2009.232

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing