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Dr Finelli from the Princess Margaret Cancer Centre in Toronto, Canada, gave a presentation in favour of the biopsy of small renal masses at the Canadian Uro-oncology Summit in Toronto last week. In summary, a renal tumour biopsy is accurate, safe, impacts management, avoids over-treatment and enables personalised care for each patient. Dr Finelli recommends that biopsy of small renal masses should become the standard of care.