Hiten D. Patel and Phillip M. Pierorazio are at the James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Park 217, 21287 Baltimore, Maryland, USA.
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Recent evidence from series of small renal mass biopsy samples and methodologically robust meta-analyses provides improved guidance on cost-benefit trade-offs for diagnosis and management of this disease. Renal mass biopsy sampling should be reserved for situations in which it will affect management decisions - which it will not do for all patients.Refers to Richard, P. O. et al. Safety, reliability and accuracy of small renal tumor biopsies: results of a multi-institution registry. BJU Int. http://dx.doi.org/10.1111/bju.13630 (2016)