Asymptomatic Kidney Tumors in Elderly Patients: Review of Treatment Approaches in Russia and Western Countries

This paper analyzes and evaluates the results of recent research on active observation strategies in North America and Europe. There are enough grounds for a more active implementation and use of this approach, which is permissible in a strictly selected category of patients, namely, in elderly patients. In Russia at the moment, the personalized approach to treatment is underdeveloped. Patients over 60–65 years old are a significant group of patients with kidney tumors. In the determination of the tactics of the care of these patients, it is important to understand that this contingent has a greater risk of death from comorbidities than the relatively low risk of death from kidney cancer. The improvement of modern diagnostic methods and the introduction of screening programs have led to a significant increase in the frequency of the detection of small kidney tumors in elderly patients. The results of studies comparing radical approaches to treatment and observation suggest the widespread adoption of a strategy for the active monitoring of asymptomatic kidney tumors in the elderly in Russian oncological practice.