Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: Organ preservation and the use of
less invasive surgical techniques have become commonplace in the initial management
of patients with cancer. Examples include lumpectomy as an alternative to
mastectomy in breast cancer,1 and limb-sparing
surgery instead of amputation in extremity sarcomas.2 Dr
Routh and colleagues review data from several retrospective studies using
NSS instead of radical nephrectomy for early-stage renal cell carcinoma. They
conclude that NSS is an appropriate therapeutic option for selected patients
with survival and complication rates similar to radical nephrectomy.
Curti BD. Nephron-Sparing Surgery and Renal Cell Carcinoma—Reply. JAMA. 2004;292(14):1684. doi:10.1001/jama.292.14.1684-b