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Sanchez-Martin FM et al. - Papillary tumors are more frequent when SRM size is less than 1 cm, having a better prognosis. Aggressive potential of small RCC could increase in tumors greater than 3 cm, so it is suggested that the threshold for selecting patients (old age, high-risk, solitary kidney, reject surgery) for a surveillance strategy should be set well below a tumor size of 3 cm. In active surveillance, the size increase of an SRM is a strong indicator of malignancy; helping to decide a surgical treatment.


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