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October 13, 2004

Nephron-Sparing Surgery and Renal Cell Carcinoma—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292(14):1684. doi:10.1001/jama.292.14.1684-b

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.

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