Abstract
Renal tumor incidence is the highest worldwide in Czech Republic. However, the mortality here is slowly declining in recent years.
Possible management in non-metastatic renal tumors includes surgical removal (partial or total nephrectomy), thermal ablation methods, surveillance, or palliative embolization. Partial nephrectomy is a preferred method for cT1 renal tumors.
For those of cT2 category a minimally invasive nephrectomy is preferred. Thermal ablation is indicated following individual assessment in patients not suitable for surgical removal.
In locally advanced (non-metastatic) tumors a radical nephrectomy is a method of choice. Renal mass biopsy is indicated usually in less typical cases, where a knowledge of histology may affect management choice.
Tumor surveillance in patients not suitable for active treatment provides favorable disease specific shortand mid-term survival.