Mouracade P, et al. - The objective of this study was to evaluate the outcomes of surveillance after partial nephrectomy (PN) in a single institution and the relevance of imaging studies in detecting recurrence. Local recurrence emerges earlier than distant metastasis. In context of the findings, patients with any adverse pathological or anatomical features should be considered as high-risk group and followed closely in the first 36 months after PN with cross-sectional studies. Moreover, secondary active treatment is suitable for most patients, while surgical treatment fits fewer patients. In addition, local recurrence is correlated with increased rates of metastatic progression.