Renal Mass Biopsy Indications, Risks, Technical Aspects and Future T

This text presents a comprehensive and state-of-the-art approach to renal mass biopsy, and reviews current techniques for obtaining samples, proper tissues processing, indications for biopsy, and treatment outcomes. Sections address preliminary issues fac

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Renal Mass Biopsy

Raymond J. Leveillee • Merce Jorda Editors

Renal Mass Biopsy Indications, Risks, Technical Aspects and Future Trends

Editors Raymond J. Leveillee Bethesda Center for Advanced Robotics Bethesda Hospital East Bethesda Center for Advanced Robotics Boynton Beach, FL USA

Merce Jorda Miller School of Medicine University of Miami Health System Miami, FL USA

ISBN 978-3-030-36035-1    ISBN 978-3-030-36036-8 (eBook) https://doi.org/10.1007/978-3-030-36036-8 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

This work would not have been possible without the consistent encouragement of my loving wife, Tracy, and our supportive children, Gabrielle, Lucas, and Delaney. A special acknowledgment goes to our beloved friend and colleague, Dr. Vladimir Mouraviev, who recently departed us but who worked to help patients and advance medical science until he succumbed to his own illness. A second pioneer who contributed tremendously to the advancement of imaging and soft tissue biopsies and has recently left us was Morgan W. Nields. Morgan possessed an enlightened entrepreneurial spirit and was a phenomenal liaison between clinicians, scientists, engineers, investors, and the industry. Both Morgan and Vlad contributed greatly to this textbook, and as it is their final contributions to education and inquiry, I dedicate it to their spirits and memories.

Preface

“Conventional Wisdom is not always wise” (E. Stearns, Esq.)

Changes in medical education often do not keep pace with medical progress. It had always been taught to me during medical school and urology residency that one should never biopsy a renal mass. Reasons given were numerous but incl