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RENAL score for nephrectomy

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When to use
Renal mass radius, cm
≤ 4
4-7
≥ 7
Exophytic/endophytic properties
≥ 50% exophytic
< 50% exophytic
Entirely endophytic
Nearness of the tumor to the collecting system or sinus, mm
≥ 7
4-7
≤ 4
Location relative to polar lines
Entirely above or below
Crosses a polar line
> 50% across the polar line, crosses the renal axial midline, entirely between the polar lines
Calculation
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