Recommendations
Whenever
technically feasible, nephron-sparing surgery is the standard procedure for
solitary renal tumours up to a diameter of 7 cm. GR A
A minimal tumour-free surgical margin
following partial resection of RCC is sufficient to avoid local recurrence. GR B
There is an increased risk of intrarenal
recurrences in larger-size (> 7 cm) tumours treated with nephron-sparing
surgery, or when there is a positive margin. Follow-up should be intensified in
these patients. GR C