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BackTable / Urology / Podcast / Episode #134

The Role of Renal Mass Biopsy in Modern Urology

with Dr. Christopher Anderson

In this episode of BackTable Urology, Dr. Aditya Bagrodia and Dr. Christopher Anderson (Columbia University) discuss the diagnosis and workup of kidney cancer, including renal biopsy techniques.

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The Role of Renal Mass Biopsy in Modern Urology with Dr. Christopher Anderson on the BackTable Urology Podcast)
Ep 134 The Role of Renal Mass Biopsy in Modern Urology with Dr. Christopher Anderson
00:00 / 01:04

BackTable, LLC (Producer). (2023, November 3). Ep. 134 – The Role of Renal Mass Biopsy in Modern Urology [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Christopher Anderson discusses The Role of Renal Mass Biopsy in Modern Urology on the BackTable 134 Podcast

Dr. Christopher Anderson

Dr. Christopher Anderson is a urologist with Columbia University Irving Medical Center in New York City.

Dr. Aditya Bagrodia discusses The Role of Renal Mass Biopsy in Modern Urology on the BackTable 134 Podcast

Dr. Aditya Bagrodia

Dr. Aditya Bagrodia is an associate professor of urology and genitourinary oncology team leader at UC San Diego Health in California and adjunct professor of urology at UT Southwestern.

Synopsis

First, the doctors explore the importance of cross-sectional imaging and IV contrast to identify and manage small renal masses. Many factors are important, such as patient age and comorbidities, hereditary cancer predisposition syndromes, and size cut-off criterias. They also emphasize the importance of time in helping patients understand their diagnosis and the individualized approach to each case.

Then, they move on to discuss the role of biopsies in identifying and managing small renal masses. Biopsies can determine whether a tumor is malignant and help with treatment decisions. They also discuss the AUA guidelines for when to consider a real biopsy as well as the risks and benefits of biopsy procedures. Then, they give a short summary of a few biopsy techniques.

After the renal biopsy, a decision has to be made about whether or not to operate on a small renal mass. Aditya and Christopher emphasize the importance of understanding patient goals and the risks of accidentally removing a benign tumor. They also explore factors in deciding on which patients would benefit from treatment of indolent tumors. Biopsies can help avoid over-treatment if they can be used to reduce unnecessary operations. The doctors end by discussing the follow-up and the importance of close monitoring for any signs of recurrence.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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