Guidelines

Renal Cell Carcinoma

10. REFERENCES

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23.Jakobsson, R.G., et al. Family History and Risk of Renal Cell Carcinoma: A National Multiregister Case-Control Study. J Urol, 2024. 211: 71. 
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26.Antwi, S.O., et al. Alcohol consumption, variability in alcohol dehydrogenase genes and risk of renal cell carcinoma. Int J Cancer, 2018. 142: 747. 
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27.Taj, T., et al. Anti-Inflammatory Diet Index and risk of renal cell carcinoma. Br J Cancer, 2025. 132: 1027. 
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28.Li, Y.D., et al. Ultra-processed food consumption and renal cell carcinoma incidence and mortality: results from a large prospective cohort. BMC Med, 2024. 22: 459. 
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29.Liao, Z., et al. The role of diet in renal cell carcinoma incidence: an umbrella review of meta-analyses of observational studies. BMC Med, 2022. 20: 39. 
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30.Rai, B.P., et al. Systematic Review of the Incidence of and Risk Factors for Urothelial Cancers and Renal Cell Carcinoma Among Patients with Haematuria. Eur Urol, 2022. 82: 182. 
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31.Stewart, G.D., et al. Abdominal Noncontrast Computed Tomography Scanning to Screen for Kidney Cancer and Other Abdominal Pathology Within Community-based Computed Tomography Screening for Lung Cancer: Results of the Yorkshire Kidney Screening Trial. Eur Urol, 2025. 87: 561. 
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32.Diana, P., et al. Screening programs for renal cell carcinoma: a systematic review by the EAU young academic urologists renal cancer working group. World J Urol, 2023. 41: 929. 
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33.Rossi, S.H., et al. Epidemiology and screening for renal cancer. World J Urol, 2018. 36: 1341. 
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34.Usher-Smith, J.A., et al. The Yorkshire Kidney Screening Trial (YKST): protocol for a feasibility study of adding non-contrast abdominal CT scanning to screen for kidney cancer and other abdominal pathology within a trial of community-based CT screening for lung cancer. BMJ Open, 2022. 12: e063018. 
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35.Usher-Smith, J.A., et al. Short-term psychosocial outcomes of adding a non-contrast abdominal computed tomography (CT) scan to the thoracic CT within lung cancer screening. BJU Int, 2024. 133: 539. 
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36.Akerlund, J., et al. Increased risk for renal cell carcinoma in end stage renal disease - a population-based case-control study. Scand J Urol, 2021. 55: 209. 
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38.Moch, H., et al. The 2022 World Health Organization Classification of Tumours of the Urinary System and Male Genital Organs-Part A: Renal, Penile, and Testicular Tumours. Eur Urol, 2022. 82: 458. 
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39.Hora, M., et al. European Association of Urology Guidelines Panel on Renal Cell Carcinoma Update on the New World Health Organization Classification of Kidney Tumours 2022: The Urologist’s Point of View. Eur Urol, 2023. 83: 97. 
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40.Moch, H., et al. The 2016 WHO Classification of Tumours of the Urinary System and Male Genital Organs-Part A: Renal, Penile, and Testicular Tumours. Eur Urol, 2016. 70: 93. 
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41.Organization., W.H., WHO Classification of Tumours of the Urinary System and Male Genital Organs. 4th ed. WHO. Vol. 8. 2016, Lyon. 
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42.An, J., et al. Patient Characteristics and Survival Outcomes of Non-Metastatic, Non-Clear Cell Renal Cell Carcinoma. Front Oncol, 2021. 11: 786307. 
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43.Ullah, A., et al. Demographic Patterns and Clinicopathological Analysis of Sarcomatoid Renal Cell Carcinoma in US Population. Clin Genitourin Cancer, 2024. 22: 38. 
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44.Trpkov, K., et al. New developments in existing WHO entities and evolving molecular concepts: The Genitourinary Pathology Society (GUPS) update on renal neoplasia. Mod Pathol, 2021. 34: 1392. 
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45.Hora, M. Re: Philip S. Macklin, Mark E. Sullivan, Charles R. Tapping, et al. Tumour Seeding in the Tract of Percutaneous Renal Tumour Biopsy: A Report on Seven Cases from a UK Tertiary Referral Centre. Eur Urol 2019;75:861-7. Eur Urol, 2019. 76: e96. 
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46.Shen, L., et al. World Health Organization 2022 Classification Update: Radiologic and Pathologic Features of Papillary Renal Cell Carcinomas. Acad Radiol, 2024. 31: 3257. 
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47.Liu, S., et al. External validation of a four-tiered grading system for chromophobe renal cell carcinoma. Clin Exp Med, 2024. 24: 61. 
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48.Neves, J.B., et al. Pattern, timing and predictors of recurrence after surgical resection of chromophobe renal cell carcinoma. World J Urol, 2021. 39: 3823. 
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49.Frank, I., et al. Solid renal tumors: an analysis of pathological features related to tumor size. J Urol, 2003. 170: 2217. 
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50.Keegan, K.A., et al. Histopathology of surgically treated renal cell carcinoma: survival differences by subtype and stage. J Urol, 2012. 188: 391. 
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51.Abern, M.R., et al. Characteristics and outcomes of tumors arising from the distal nephron. Urology, 2012. 80: 140. 
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52.Qian, X., et al. Impact of Treatment Modalities on Prognosis in Patients With Renal Collecting Duct Carcinoma: A Population-Based Study. Front Oncol, 2022. 12: 810096. 
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53.Kanakaraj, J., et al. The New WHO Category of “Molecularly Defined Renal Carcinomas”: Clinical and Diagnostic Features and Management Implications. Urol Oncol, 2024. 42: 211. 
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54.Forde, C., et al. Hereditary Leiomyomatosis and Renal Cell Cancer: Clinical, Molecular, and Screening Features in a Cohort of 185 Affected Individuals. Eur Urol Oncol, 2020. 3: 764. 
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55.Cimadamore, A., et al. Towards a new WHO classification of renal cell tumor: what the clinician needs to know-a narrative review. Transl Androl Urol, 2021. 10: 1506. 
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56.Amin, M.B., et al. Collecting duct carcinoma versus renal medullary carcinoma: an appeal for nosologic and biological clarity. Am J Surg Pathol, 2014. 38: 871. 
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57.Shah, A.Y., et al. Management and outcomes of patients with renal medullary carcinoma: a multicentre collaborative study. BJU Int, 2017. 120: 782. 
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58.Iacovelli, R., et al. Clinical outcome and prognostic factors in renal medullary carcinoma: A pooled analysis from 18 years of medical literature. Can Urol Assoc J, 2015. 9: E172. 
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59.Alvarez, O., et al. Renal medullary carcinoma and sickle cell trait: A systematic review. Pediatr Blood Cancer, 2015. 62: 1694. 
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60.Breda, A., et al. Clinical and pathological outcomes of renal cell carcinoma (RCC) in native kidneys of patients with end-stage renal disease: a long-term comparative retrospective study with RCC diagnosed in the general population. World J Urol, 2015. 33: 1. 
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61.Neves, J.B., et al. Growth and renal function dynamics of renal oncocytomas in patients on active surveillance. BJU Int, 2021. 128: 722. 
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62.Vijay, V., et al. Incidence of Benign Renal Masses in a Contemporary Cohort of Patients Receiving Partial Nephrectomy for Presumed Renal Cell Carcinoma. Clin Genitourin Cancer, 2023. 21: e114. 
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63.Wilson, M.P., et al. Diagnostic accuracy of 99mTc-sestamibi SPECT/CT for detecting renal oncocytomas and other benign renal lesions: a systematic review and meta-analysis. Abdom Radiol (NY), 2020. 45: 2532. 
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64.Basile, G., et al. The Role of (99m)Tc-Sestamibi Single-photon Emission Computed Tomography/Computed Tomography in the Diagnostic Pathway for Renal Masses: A Systematic Review and Meta-analysis. Eur Urol, 2024. 85: 63. 
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65.Schober, J.P., et al. Clinical Performance of Technetium-99m-Sestamibi SPECT/CT Imaging in Differentiating Oncocytic Tumors From Renal Cell Carcinoma in Routine Clinical Practice. J Urol, 2023. 210: 438. 
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66.Tzortzakakis, A., et al. (99m)Tc-Sestamibi SPECT/CT and histopathological features of oncocytic renal neoplasia. Scand J Urol, 2022. 56: 375. 
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67.Patel, H.D., et al. Surgical histopathology for suspected oncocytoma on renal mass biopsy: a systematic review and meta-analysis. BJU Int, 2017. 119: 661. 
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68.Branger, N., et al. Oncocytoma on renal mass biopsy: is it still the same histology when surgery is performed? Results from UroCCR-104 study. World J Urol, 2023. 41: 483. 
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69.Edwards, F., et al. Natural history of treated and untreated renal oncocytoma: a systematic review and meta-analysis. BJU Int, 2025. 136: 590. 
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70.Abdessater, M., et al. Renal Oncocytoma: An Algorithm for Diagnosis and Management. Urology, 2020. 143: 173. 
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71.Meagher, M.F., et al. Comparison of renal functional outcomes of active surveillance and partial nephrectomy in the management of oncocytoma. World J Urol, 2021. 39: 1195. 
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72.Bhatt, J.R., et al. Natural History of Renal Angiomyolipoma (AML): Most Patients with Large AMLs >4cm Can Be Offered Active Surveillance as an Initial Management Strategy. Eur Urol, 2016. 70: 85. 
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73.Fittschen, A., et al. Prevalence of sporadic renal angiomyolipoma: a retrospective analysis of 61,389 in- and out-patients. Abdom Imaging, 2014. 39: 1009. 
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74.Organization., W.h., Pathology and genetics of tumours of the urinary system and male genital organs . World Health Organization Classification of Tumours. 3rd, ed. J.N. Eble, et al. Vol. 7. 2004, Lyon. 
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75.Nese, N., et al. Pure epithelioid PEComas (so-called epithelioid angiomyolipoma) of the kidney: A clinicopathologic study of 41 cases: detailed assessment of morphology and risk stratification. Am J Surg Pathol, 2011. 35: 161. 
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76.Tsai, H.Y., et al. Clinicopathologic analysis of renal epithelioid angiomyolipoma: Consecutively excised 23 cases. Kaohsiung J Med Sci, 2019. 35: 33. 
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77.Fernandez-Pello, S., et al. Management of Sporadic Renal Angiomyolipomas: A Systematic Review of Available Evidence to Guide Recommendations from the European Association of Urology Renal Cell Carcinoma Guidelines Panel. Eur Urol Oncol, 2020. 3: 57. 
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78.Bissler, J.J., et al. Everolimus for renal angiomyolipoma in patients with tuberous sclerosis complex or sporadic lymphangioleiomyomatosis: extension of a randomized controlled trial. Nephrol Dial Transplant, 2016. 31: 111. 
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79.Bissler, J.J., et al. Everolimus long-term use in patients with tuberous sclerosis complex: Four-year update of the EXIST-2 study. PLoS One, 2017. 12: e0180939. 
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80.Geynisman, D.M., et al. Sporadic Angiomyolipomas Growth Kinetics While on Everolimus: Results of a Phase II Trial. J Urol, 2020. 204: 531. 
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81.Schoots, I.G., et al. Bosniak Classification for Complex Renal Cysts Reevaluated: A Systematic Review. J Urol, 2017. 198: 12. 
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82.Tse, J.R., et al. Prevalence of Malignancy and Histopathological Association of Bosniak Classification, Version 2019 Class III and IV Cystic Renal Masses. J Urol, 2021. 205: 1031. 
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83.Defortescu, G., et al. Diagnostic performance of contrast-enhanced ultrasonography and magnetic resonance imaging for the assessment of complex renal cysts: A prospective study. Int J Urol, 2017. 24: 184. 
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84.Silverman, S.G., et al. Bosniak Classification of Cystic Renal Masses, Version 2019: An Update Proposal and Needs Assessment. Radiology, 2019. 292: 475. 
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85.Cantisani, V., et al. EFSUMB 2020 Proposal for a Contrast-Enhanced Ultrasound-Adapted Bosniak Cyst Categorization - Position Statement. Ultraschall Med, 2021. 42: 154. 
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86.Donin, N.M., et al. Clinicopathologic outcomes of cystic renal cell carcinoma. Clin Genitourin Cancer, 2015. 13: 67. 
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87.Park, J.J., et al. Postoperative Outcome of Cystic Renal Cell Carcinoma Defined on Preoperative Imaging: A Retrospective Study. J Urol, 2017. 197: 991. 
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88.Chandrasekar, T., et al. Natural History of Complex Renal Cysts: Clinical Evidence Supporting Active Surveillance. J Urol, 2018. 199: 633. 
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89.Nouhaud, F.X., et al. Contemporary assessment of the correlation between Bosniak classification and histological characteristics of surgically removed atypical renal cysts (UroCCR-12 study). World J Urol, 2018. 36: 1643. 
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90.Bierley, J.D., et al. UICC TNM classification of malignant tumours. 2017. 
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91.Capitanio, U., et al. A Renewal of the TNM Staging System for Patients with Renal Cancer To Comply with Current Decision-making: Proposal from the European Association of Urology Guidelines Panel. Eur Urol, 2023. 83: 3. 
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92.Waalkes, S., et al. Is there a need to further subclassify pT2 renal cell cancers as implemented by the revised 7th TNM version? Eur Urol, 2011. 59: 258. 
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93.Bertini, R., et al. Renal sinus fat invasion in pT3a clear cell renal cell carcinoma affects outcomes of patients without nodal involvement or distant metastases. J Urol, 2009. 181: 2027. 
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94.Poon, S.A., et al. Invasion of renal sinus fat is not an independent predictor of survival in pT3a renal cell carcinoma. BJU Int, 2009. 103: 1622. 
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95.Bedke, J., et al. Perinephric and renal sinus fat infiltration in pT3a renal cell carcinoma: possible prognostic differences. BJU Int, 2009. 103: 1349. 
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96.Izumi, K., et al. Contact with renal sinus is associated with poor prognosis in surgically treated pT1 clear cell renal cell carcinoma. Int J Urol, 2020. 27: 657. 
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97.Novara, G., et al. Validation of the 2009 TNM version in a large multi-institutional cohort of patients treated for renal cell carcinoma: are further improvements needed? Eur Urol, 2010. 58: 588. 
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98.Heidenreich, A., et al. Preoperative imaging in renal cell cancer. World J Urol, 2004. 22: 307. 
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99.Sheth, S., et al. Current concepts in the diagnosis and management of renal cell carcinoma: role of multidetector ct and three-dimensional CT. Radiographics, 2001. 21 Spec No: S237. 
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100.Xu, P., et al. Predictive value of renal tumor contour irregularity score in pathological T3a upstaging of clinical T1 renal cell carcinoma: A multi-institutional study. Urol Oncol, 2022. 40: 199 e1. 
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101.Sobin LH., G.M., Wittekind C. (eds). TNM classification of malignant tumors. 2009. 7th edn. 
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103.Ficarra, V., et al. The Simplified PADUA REnal (SPARE) nephrometry system: a novel classification of parenchymal renal tumours suitable for partial nephrectomy. BJU Int, 2019. 124: 621. 
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104.Simmons, M.N., et al. Diameter-axial-polar nephrometry: integration and optimization of R.E.N.A.L. and centrality index scoring systems. J Urol, 2012. 188: 384. 
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105.Klatte, T., et al. A Literature Review of Renal Surgical Anatomy and Surgical Strategies for Partial Nephrectomy. Eur Urol, 2015. 68: 980. 
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106.Spaliviero, M., et al. An Arterial Based Complexity (ABC) Scoring System to Assess the Morbidity Profile of Partial Nephrectomy. Eur Urol, 2016. 69: 72. 
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107.Hakky, T.S., et al. Zonal NePhRO scoring system: a superior renal tumor complexity classification model. Clin Genitourin Cancer, 2014. 12: e13. 
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108.Davidiuk, A.J., et al. Mayo adhesive probability score: an accurate image-based scoring system to predict adherent perinephric fat in partial nephrectomy. Eur Urol, 2014. 66: 1165. 
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109.Tanaka, H., et al. Defining Tumour Shape Irregularity for Preoperative Risk Stratification of Clinically Localised Renal Cell Carcinoma. Eur Urol Open Sci, 2023. 48: 36. 
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110.Longoni, M., et al. Head-to-head comparison of nephrometry scores for partial nephrectomy: implications for clinical guidelines. Eur J Surg Oncol, 2025. 51: 110283. 
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111.Jayson, M., et al. Increased incidence of serendipitously discovered renal cell carcinoma. Urology, 1998. 51: 203. 
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112.Campbell, S.C. Commentary RE: Increased Incidence of Serendipitously Discovered Renal Cell Carcinoma. Urology, 2020. 145: 333. 
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113.Vasudev, N.S., et al. Challenges of early renal cancer detection: symptom patterns and incidental diagnosis rate in a multicentre prospective UK cohort of patients presenting with suspected renal cancer. BMJ Open, 2020. 10: e035938. 
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114.Patard, J.J., et al. Correlation between symptom graduation, tumor characteristics and survival in renal cell carcinoma. Eur Urol, 2003. 44: 226. 
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115.Lee, C.T., et al. Mode of presentation of renal cell carcinoma provides prognostic information. Urol Oncol, 2002. 7: 135. 
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116.Sacco, E., et al. Paraneoplastic syndromes in patients with urological malignancies. Urol Int, 2009. 83: 1. 
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117.Moldovan, T., et al. Incidence and clinical relevance of paraneoplastic syndromes in patients with renal cell carcinoma. Urol Oncol, 2023. 41: 392 e11. 
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393.Pattou, M., et al. Effects of a personalized or generic three-dimensional tumoral kidney model on patient experience and caregiver-patient interactions, before and after partial nephrectomy, a randomized trial (Rein 3D Print Personalize-UroCCR 114). PLoS One, 2025. 20: e0323515. 
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396.Henderickx, M., et al. Surgical margins after partial nephrectomy as prognostic factor for the risk of local recurrence in pT1 RCC: a systematic review and narrative synthesis. World J Urol, 2022. 40: 2169. 
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414.Pfail, J., et al. Omission of intraoperative drain placement during robotic partial nephrectomy and robotic radical prostatectomy is safe: an analysis of 18,000 patients. World J Urol, 2024. 42: 601. 
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438.Rosales, J.C., et al. Active surveillance for renal cortical neoplasms. J Urol, 2010. 183: 1698. 
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440.Atwell, T.D., et al. Percutaneous ablation of renal masses measuring 3.0 cm and smaller: comparative local control and complications after radiofrequency ablation and cryoablation. AJR Am J Roentgenol, 2013. 200: 461. 
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444.McClure, T., et al. Efficacy of percutaneous radiofrequency ablation may vary with clear cell renal cell cancer histologic subtype. Abdom Radiol (NY), 2018. 43: 1472. 
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447.Sisul, D.M., et al. RENAL nephrometry score is associated with complications after renal cryoablation: a multicenter analysis. Urology, 2013. 81: 775. 
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458.Sundelin, M.O., et al. Repeated Cryoablation as Treatment Modality After Failure of Primary Renal Cryoablation: A European Registry for Renal Cryoablation Multinational Analysis. J Endourol, 2019. 33: 909. 
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562.de Bruijn, R., et al. Deferred Cytoreductive Nephrectomy Following Presurgical Vascular Endothelial Growth Factor Receptor-targeted Therapy in Patients with Primary Metastatic Clear Cell Renal Cell Carcinoma: A Pooled Analysis of Prospective Trial Data. Eur Urol Oncol, 2020. 3: 168. 
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