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The effect of delaying nephrectomy on oncologic outcomes in patients with renal tumors greater than 4 cm
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A total of 21% of patients treated for renal tumors>4 cm had a surgical delay of>3 months.

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Larger, symptomatic tumors were associated with a shorter surgical delay.

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SWT was not associated with disease upstaging at the time of surgery, recurrence, or CSS, but was associated with OS.

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Treatment of comorbidities was a common cause for surgical delay of>3 months.

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