Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press133710.17650/1726-9776-2020-16-4-17-31DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. RENAL CANCERДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ МОЧЕПОЛОВОЙ СИСТЕМЫ. Рак почкиThe R.E.N.A.L. nephrometry score in radiologist’s practiceНефрометрическая система R.E.N.A.L. в практике рентгенологаhttps://orcid.org/0000-0001-8378-4338RubtsovaN. A.РубцоваН. А.
Russian Federation

3 2nd Botkinskiy Proezd, Moscow 125284

Наталья Алефтиновна Рубцова

125284 Москва, 2-й Боткинский проезд, 3

rna17@yandex.ruhttps://orcid.org/0000-0002-9474-1074KryanevaE. V.КряневаЕ. В.
Russian Federation

3 2nd Botkinskiy Proezd, Moscow 125284

Елена Владимировна Крянева - врач-рентгенолог отделения компьютерной и магнитно-резонансной томографии , SPIN: 8914-0923.

125284 Москва, 2-й Боткинский проезд, 3

kryanevaelena@gmail.comhttps://orcid.org/0000-0002-4030-3212GolbitsA. B.ГольбицА. Бо.
Russian Federation

3 2nd Botkinskiy Proezd, Moscow 125284

Александра Борисовна Гольбиц

125284 Москва, 2-й Боткинский проезд, 3

a_golbits@mail.ruhttps://orcid.org/0000-0002-3398-4128AlekseevB. Ya.АлексеевБ. Я.
Russian Federation

3 2nd Botkinskiy Proezd, Moscow 125284; 11 Volokolamskoe Shosse, Moscow 125080

Борис Яковлевич Алексеев

125284 Москва, 2-й Боткинский проезд, 3; 125080 Москва, Волоколамское шоссе, 11

byaleks.v@mail.ruhttps://orcid.org/0000-0002-0792-6012KostinA. A.КостинА. А.
Russian Federation

3 2nd Botkinskiy Proezd, Moscow 125284

Андрей Александрович Костин

125284 Москва, 2-й Боткинский проезд, 3

andocrey@mail.ruhttps://orcid.org/0000-0001-8784-8415KaprinА. D.КапринА. Д.
Russian Federation

3 2nd Botkinskiy Proezd, Moscow 125284

Андрей Дмитриевич Каприн

125284 Москва, 2-й Боткинский проезд, 3

kaprin@mail.ruP.A. Hertzen Moscow Oncology Research Institute — branch of the National Medical Research Radiological Center, Ministry of Health of RussiaМосковский научно-исследовательский онкологический институт им. П.А. Герцена — филиал ФГБУ Национальный медицинский исследовательский центр радиологии Минздрава РоссииMedical Institute of Continuing Education, Moscow State University of Food ProductionМедицинский институт непрерывного образования ФГБОУ ВО Московский государственный университет пищевых производств3012202016417311708202013092020https://oncourology.abvpress.ru/oncur/article/view/1337

In recent decades, due to advances in imaging and improvements in diagnostic algorithms, there has been a tendency to increase the frequency of detection of small renal masses for which nephron-sparing surgery is possible. To predict the potential complexity of partial nephrectomy and to reduce the degree of subjectivity in choosing the volume and method of surgical procedure, different groups of researchers proposed a significant number of concepts for evaluating renal tumours. The R.E.N.A.L. nephrometry score is one of the first but remains relevant and is based on a set of anatomical characteristics. This score allows to classify renal neoplasms in a structured and standardized way. This article presents a method for evaluating the parameters of R.E.N.A.L. nephrometry score, as well as a brief literature review of its prognostic significance.

В последние десятилетия за счет достижений в области медицинской визуализации и улучшения алгоритмов диагностического поиска отмечается тенденция к увеличению частоты выявления опухолей почек небольших размеров, для которых возможно проведение органосохраняющего лечения. Для прогнозирования потенциальной сложности выполнения резекции и снижения степени субъективности при выборе объема и методики хирургического вмешательства разными группами исследователей было предложено значительное число концепций оценки новообразований почек. Нефрометрическая шкала R.E.N.A.L., разработанная одной из первых, но сохраняющая свою актуальность, позволяет, исходя из совокупности анатомических особенностей, структурированно и стандартизированно характеризовать опухоли почек. В статье представлена методика оценки каждого из параметров, входящих в состав представленной нефрометрической системы, а также приведен краткий обзор литературы ее прогностической значимости.

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