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June 21, 2026Investigative and Clinical UrologyOpen Access

Predictors of benign histology in clinical T1a small renal masses: A large multicenter cohort study

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Authors

GLGyu-Min LeeSt. Mary's HospitalSBSeok-Soo ByunSeoul National University Bundang HospitalCKCheol KwakSeoul National University

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Implication

Retrospective multicenter study identifies predictors of benign tumors in small renal masses, suggesting less invasive treatment options.

Key Points

  • The aim is to identify preoperative predictors of benign histology in small renal masses to refine treatment selection.
  • Performed a retrospective multicenter cohort study at eight centers in South Korea from 1990 to 2023.
  • Compared clinicodemographic, laboratory, and radiologic variables between benign and malignant tumors.
  • Used multivariable logistic regression to identify independent predictors of benign pathology.
  • Among 5,713 renal masses, 289 (5.1%) were benign.
  • Benign tumors were more common in females (58.8% vs. 28.2%, p<0.001) and had lower BMI (23.60 kg/m² vs. 24.80 kg/m², p<0.001).
  • Independent predictors for benign histology included female sex (OR 3.126, p<0.001), tumor size ≤2 cm (OR 2.335, p<0.001), lower BMI (OR 0.910 per kg/m², p<0.001), and higher eGFR (OR 1.023 per mL/min/1.73m², p<0.001).

Cite This Study

Lee et al. (2026) studied this question.

synapsesocial.com/papers/6a377fb224f042ddf4c59ffahttps://doi.org/10.4111/icu.20250674
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