Open Access

Influence of tumor‑associated factors on the treatment selection between partial nephrectomy and ablation therapy for small renal tumors (Review)

  • Authors:
    • Kensuke Bekku
    • Shota Inoue
    • Kasumi Yoshinaga
    • Tomoaki Yamanoi
    • Yosuke Mitsui
    • Tatsushi Kawada
    • Yusuke Tominaga
    • Takuya Sadahira
    • Takehiro Iwata
    • Satoshi Katayama
    • Shingo Nishimura
    • Kohei Edamura
    • Tomoko Kobayashi
    • Motoo Araki
  • View Affiliations

  • Published online on: June 4, 2025     https://doi.org/10.3892/mi.2025.247
  • Article Number: 48
  • Copyright : © Bekku et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

For small renal tumors, nephron‑preserving treatment, including partial nephrectomy or ablation therapy, is recommended. According to major guidelines, ablation therapies are advised for patients who are deemed not suitable to undergo surgery due to an advanced age or the presence of comorbidities. However, compared with surgery, ablation therapy can result in superior safety and functional outcomes. The present review discusses the factors affecting decision‑making as regards treatment options for small renal tumors. When determining an appropriate treatment option, tumor locations, as well as the condition and preferences of the patient, are considered. Scoring systems, such as the RENAL Nephrometry Score can assist in guiding treatment decisions. However, surgery may be the preferred approach for tumors near major vessels and collecting systems. For endophytic tumors, partial nephrectomy can be challenging due to the difficulty in visualizing intra‑parenchymal tumors during the procedure, whereas ablation therapies may be inferior to partial nephrectomy. Although treatment selection for small renal tumors can be affected by tumor location, partial nephrectomy remains the gold standard for numerous cases.
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July-August 2025
Volume 5 Issue 4

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Copy and paste a formatted citation
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Spandidos Publications style
Bekku K, Inoue S, Yoshinaga K, Yamanoi T, Mitsui Y, Kawada T, Tominaga Y, Sadahira T, Iwata T, Katayama S, Katayama S, et al: Influence of tumor‑associated factors on the treatment selection between partial nephrectomy and ablation therapy for small renal tumors (Review). Med Int 5: 48, 2025.
APA
Bekku, K., Inoue, S., Yoshinaga, K., Yamanoi, T., Mitsui, Y., Kawada, T. ... Araki, M. (2025). Influence of tumor‑associated factors on the treatment selection between partial nephrectomy and ablation therapy for small renal tumors (Review). Medicine International, 5, 48. https://doi.org/10.3892/mi.2025.247
MLA
Bekku, K., Inoue, S., Yoshinaga, K., Yamanoi, T., Mitsui, Y., Kawada, T., Tominaga, Y., Sadahira, T., Iwata, T., Katayama, S., Nishimura, S., Edamura, K., Kobayashi, T., Araki, M."Influence of tumor‑associated factors on the treatment selection between partial nephrectomy and ablation therapy for small renal tumors (Review)". Medicine International 5.4 (2025): 48.
Chicago
Bekku, K., Inoue, S., Yoshinaga, K., Yamanoi, T., Mitsui, Y., Kawada, T., Tominaga, Y., Sadahira, T., Iwata, T., Katayama, S., Nishimura, S., Edamura, K., Kobayashi, T., Araki, M."Influence of tumor‑associated factors on the treatment selection between partial nephrectomy and ablation therapy for small renal tumors (Review)". Medicine International 5, no. 4 (2025): 48. https://doi.org/10.3892/mi.2025.247