Author Reply

Abstract

The Mayo Adhesive Probability (MAP) score is an accurate predictor of adherent perinephric fat (APF). 1 Davidiuk A.J. Parker A.S. Thomas C.S. et al. Mayo adhesive probability score: an accurate image-based scoring system to predict adherent perinephric fat in partial nephrectomy. Eur Urol. 2014; 66: 1165-1171 Abstract Full Text Full Text PDF PubMed Scopus (152) Google Scholar Two recent papers have independently validated that elevated MAP scores predict APF. 2 Khene Z.E. Peyronnet B. Mathieu R. et al. Analysis of the impact of adherent perinephric fat on peri-operative outcomes of robotic partial nephrectomy. World J Urol. 2015; 33: 1801-1806 Crossref PubMed Scopus (61) Google Scholar , 3 Kocher N.J. Kunchala S. Reynolds C. et al. Adherent perinephric fat at minimally invasive partial nephrectomy is associated with adverse perioperative outcomes and malignant renal histology. BJU Int. 2015 Nov 17; (Epub ahead of print)https://doi.org/10.1111/bju.13378 Crossref PubMed Scopus (53) Google Scholar Our paper notes that patients with elevated MAP scores (MAP 4-5) have worse renal cell carcinoma (RCC) progression-free survival than patients with lower MAP scores (MAP 0-3). This remained true when only pT1 tumors were analyzed. Kocher et al 3 Kocher N.J. Kunchala S. Reynolds C. et al. Adherent perinephric fat at minimally invasive partial nephrectomy is associated with adverse perioperative outcomes and malignant renal histology. BJU Int. 2015 Nov 17; (Epub ahead of print)https://doi.org/10.1111/bju.13378 Crossref PubMed Scopus (53) Google Scholar have recently noted that the presence of APF at partial nephrectomy is associated with malignant renal histology.