RCC Surveillance
The UISS (UCLA Integraded Staging System) can help guide surveillance according to risk for first 5 years post surgery. (1)
A 2017 study of 89 patients ≥ 80 yrs w/ T1 renal masses followed by AS showed 5yr CSS 95.6%. Those who developed metastatic disease grew at rate 1.28cm/year vs. 0.18cm/yr in others. (2)
DISSRM is a proposed scoring system from 1-7 to help stratify appropriateness for surveillance of small renal masses. Lower score should give better outcomes. See table below (3)
A 2017 study of 89 patients ≥ 80 yrs w/ T1 renal masses followed by AS showed 5yr CSS 95.6%. Those who developed metastatic disease grew at rate 1.28cm/year vs. 0.18cm/yr in others. (2)
DISSRM is a proposed scoring system from 1-7 to help stratify appropriateness for surveillance of small renal masses. Lower score should give better outcomes. See table below (3)
DISSRM Points |
1 |
2 |
|
Age |
<60 |
60-70 |
>70 |
Charleston Comorbidity Index |
<60 |
1 |
2 |
Tumor Diameter |
<2cm |
2-3cm |
>3cm |
SF 12 Physical Component Score |
≤45 |
>45 |
- Capogrosso, Paolo, et al. "Risk Based Surveillance after Surgical Treatment of Renal Cell Carcinoma." The Journal of urology 200.1 (2018): 61-67.
- Celtik, Kenan E., et al. "Active surveillance for incidental renal mass in the octogenarian." World journal of urology 35.7 (2017): 1089-1094.
- Sotimehin, A. E., Patel, H. D., Alam, R., Gorin, M. A., Johnson, M. H., Chang, P., … Pierorazio, P. M. (2019). Selecting Patients with Small Renal Masses for Active Surveillance: A Domain Based Score from a Prospective Cohort Study. The Journal of Urology, 201(5), 886–892.