MANAGEMENT OF SMALL RENAL MASSES: Edited by John M. FitzpatrickThe emerging role of percutaneous biopsy in diagnosis and management of small renal massesYap, Stanley A.; Stakhovskyi, Oleksandr; Finelli, AntonioAuthor Information Division of Urologic Oncology, Princess Margaret Hospital, University of Toronto, Toronto, Ontario, Canada Correspondence to Antonio Finelli, Princess Margaret Hospital, 3rd Floor Room 130, 610 University Avenue, Toronto, Ontario M5G 2M9, Canada. Tel: +1 416 946 4501; fax: +1 416 946 6590; e-mail: firstname.lastname@example.org Current Opinion in Urology: September 2012 - Volume 22 - Issue 5 - p 360-364 doi: 10.1097/MOU.0b013e3283542bc5 Buy Metrics Abstract Purpose of review Percutaneous biopsy has an emerging role in the diagnosis and management of small renal masses. The increasing importance of percutaneous biopsy is related to both a better understanding of the natural history of these tumors as well as new developments in treatment strategies. Recent findings We discuss the emerging role of biopsy in the current practice setting. Additionally, we review recent data regarding its diagnostic accuracy, important technical considerations, and possible complications. Finally, we speculate on its future role in managing these patients. Summary The role of percutaneous renal biopsy in the management of small renal masses continues to evolve. It is critically important at this juncture to evaluate the benefits and shortcomings of such an approach. Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.