Update on the Management of Localized Renal Tumors

Explore the latest developments in managing localized renal tumors in this comprehensive Yale Interventional Radiology Grand Rounds lecture. Delve into the changing patterns of detection and presentation, hereditary risk factors, genetic testing evolution, and proper workup procedures for renal masses. Learn about tumor complexity assessment, ancillary studies, and renal functional evaluation. Examine the role of renal mass biopsy, morphologic vs. genomic classification, and the future of localized disease management. Discover the expanding role of interventional oncologists and the importance of a multi-disciplinary approach in treating renal tumors. Gain valuable insights from Dr. Brian M. Shuch, Assistant Professor of Urology and Radiology and Biomedical Imaging at Yale University School of Medicine, as he shares key take-home messages for improved patient care.

Intro
Outbreak of Cross-Sectional Imaging
Changing Pattern of Detection
Changing Pattern of Presentation
Hereditary Risk Factors
Hereditary Syndromes
Genetic Testing Evolution
Work-up of a New Renal Mass
Common Mimics of Renal Tumors
Proper Workup of the Renal Mass
Renal Imaging Characteristics
Tumor Complexity Assessment
Ancillary Studies
Renal Functional Evaluation
The Dreaded Complication: Seeding
AUA: Role of Renal Mass Biopsy (RMB)
Classic Renal Biopsy Assessment
Morphologic vs. Genomic Classification
RCC Classification
Protocol Design
Average Growth Rate Curve Linear Regression Model
Future of Localized Disease
Costs Associated with Testing?
Renal Mass Biopsy Concept: Updated
Expanding Role of the Interventional Oncologist
Available Tools?
A Multi-Disciplinary Approach
Yale's Program: Expanding the Interventional Oncologist
Take Home Messages