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Semin intervent Radiol 2019; 36(03): 183-193
DOI: 10.1055/s-0039-1694714
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Trends in Percutaneous Thermal Ablation Therapies in the Treatment of T1a Renal Cell Carcinomas Rather than Partial Nephrectomy/Radical Nephrectomy

Sepideh Shakeri
1   Department of Radiology, University of California, Los Angeles
,
Steven S. Raman
1   Department of Radiology, University of California, Los Angeles
2   Department of Urology, University of California, Los Angeles
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Publikationsdatum:
19. August 2019 (online)

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Abstract

With the increased incidence of stage T1a renal cell carcinoma (RCC) has come the recognition that these lesions tend to be low grade and slow growing, with low probability of metastasis not necessarily requiring surgery. As alternatives to surgery, both active surveillance and ablation have been advocated for the management of selected patients with stage T1a renal cancers due to slow rate of tumor growth and low metastatic potential based on recent epidemiological studies. Thermal ablation also has consistently reported favorable complication and renal preservation rates compared with surgical approaches. However, most studies are single-center case series and meta-analysis of these series and comparative prospective series with long-term follow-up are lacking. The purpose of this article is to review the principal thermal ablation modalities and oncological outcomes for the treatment of stage T1 RCCs with long-term follow-up.

Keywords

thermal ablation - cryoablation - radiofrequency ablation - microwave ablation - percutaneous ablation - partial nephrectomy - radical nephrectomy - interventional radiology
 

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