Systematic Review of the Management of Local Kidney Cancer Relapse Maximilian C. Kriegmair, Riccardo Bertolo, Pierre I. Karakiewicz, Bradley C. Leibovich, Borje Ljungberg, Maria C. Mir, Idir Ouzaid, Maciej Salagierski, Michael Staehler, Hendrik van Poppel, Christopher C. Wood, Umberto Capitanio  European Urology Oncology  DOI: 10.1016/j.euo.2018.06.007 Copyright © 2018 European Association of Urology Terms and Conditions

Fig. 1 Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow chart. European Urology Oncology DOI: (10.1016/j.euo.2018.06.007) Copyright © 2018 European Association of Urology Terms and Conditions

Fig. 2 Treatment algorithm for local recurrence depending on the primary treatment. PN=partial nephrectomy; RN=radical nephrectomy; ERBT=external beam radiation therapy; SBRT=stereotactic body radiotherapy. * Consider ablation if the patient has a strong desire to avoid dialysis. # For example, for local symptoms or rapid progression. ♭ Consider ERBT if systemic therapy is insufficient, preferably performed as SBRT. European Urology Oncology DOI: (10.1016/j.euo.2018.06.007) Copyright © 2018 European Association of Urology Terms and Conditions