Abstract
We thank Dr. Singer and colleagues for their thoughtful comments on our investigation of synchronous lung metastasis (sLM) in patients with newly identified renal masses (RMs). As stated in our original investigation and by the editors, we assessed a large cohort of 253,818 patients. Of these patients, 120,386 (47%) had a RM size <40 mm. Furthermore, only 0.9% of patients with a RM size <40 mm displayed sLM. When examining only patients with confirmed sLM we found that only 8% (1,135/14,524) had a RM <40 mm.
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