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Percutaneous image-guided cryoablation of small renal masses

, : Percutaneous image-guided cryoablation of small renal masses. Abdominal Radiology 41(4): 754-766

Renal cell carcinoma is a common malignancy with increasing incidence due to the incidental detection of non-symptomatic small renal masses on imaging. Management of these small tumors has evolved toward minimally invasive nephron-sparing techniques which include partial nephrectomy and image-guided ablation. Cryoablation and radiofrequency ablation are the most utilized ablation modalities with the former more suited for larger and central renal masses due to intra-procedural visualization of the ablation zone and reduced pelvicalyceal injury. In this article, we review the epidemiology and natural history of renal cell carcinoma, the role of biopsy, and the management options available-surgery, image-guided ablation, and active surveillance-with a focus on cryoablation. The clinical outcomes of the longer term maturing cryoablation data are discussed with reference to partial nephrectomy and radiofrequency ablation. Image-guided ablation has often been the management choice in patients deemed unfit for surgery; however, growing evidence from published series demonstrates image-guided ablation as a sound alternative treatment with equivalent oncological outcomes and minimal patient impact.


PMID: 26915090

DOI: 10.1007/s00261-016-0682-2

Other references

Berg, A. van den; Dippenaar Schoeman, A.S., 1988: Spiders in pine plantations. It is reported in this brief account of investigations on spiders in a pine [Pinus] plantation in a state forest in the Eastern Transvaal, South Africa, in 1984-85 that 52 genera, representing 22 families, were taken. Of the 1484 spiders collected...

Schumacher, B.; Frieling, T.; Luebke, H.; Haeussinger, D., 1995: Diagnosis and follow-up investigation of esophageal and stomach leiomyomas by endoscopic ultrasonography. Acta Endoscopica 25(5): 425-431

Newmaster, S.G.; Ragupathy Subramanyam; Ivanoff, R.F.; Balasubramaniam, N.C., 2006: Mechanisms of ethnobiological classifications. The paper describes different categories in ethnobiological classification, such as linguistic, hierarchical, utilitarian, morphological, ecological, spiritual, behavioural and sensory perceptions. It is not intended to justify which is the best b...

Klein, M.; Graf, A.; Kiss, H.; Beck, A.; Czerwenka, K.; Egarter, C.; Husslein, P., 1995: Impact of trophoblast penetration through the basal membrane on the efficacy of drug therapy in tubal pregnancies. Concentrations of beta-human chorionic gonadotrophin (HCG) of 2500 IU/l are generally considered to be maximal for successful drug therapy of tubal pregnancies (instillation of prostaglandin-F-2alpha (PGF-2alpha) or hyperosmolar glucose). The purp...

Nakagiri, A.; Sunamoto, M.; Takeuchi, K.; Murakami, M., 2010: Evidence for the involvement of NADPH oxidase in ischemia/reperfusion-induced gastric damage via angiotensin II. Reactive oxygen species are known to be derived from NADPH oxidase in several tissues. Angiotensin II was suggested to be involved in the activation of NADPH oxidase; however, its role in the gastric mucosa is unclear. We examined the roles of ang...

Zou, H.; Hurwitz, M.; Fowler, L.; Wagner, A.K., 2016: Abbreviated levetiracetam treatment effects on behavioural and histological outcomes after experimental TBI. Long-term prophylactic treatment with levetiracetam (LEV) has multiple neuroprotective effects in a traumatic brain injury (TBI) rat model. Although a rational time-frame of seizure prophylactic treatment with LEV for after TBI is not well establi...

Anonymous, 1973: Regulation of 25-hydroxycholecalciferol metabolism by inorganic phosphate. Nutrition Reviews 31(6): 188-190

Szechner B., 1989: Total synthesis of protected form of fungi metabolite cortalcerone. Synthesis of methyl 4,5-dideoxy--hex-4-enos-2-ulopyranosid-3-ulose ethylene acetal, derivative of first natural sugar with dihydropyranone moiety, from 5-acetoxymethylfurfural is described.

Nagashima, K.; Okumura, Y.; Watanabe, I.; Nakai, T.; Ohkubo, K.; Kofune, T.; Kofune, M.; Mano, H.; Sonoda, K.; Hirayama, A., 2012: Effects of inter-electrode spacing on complex fractionated atrial electrograms and dominant frequency detection. The influence of inter-electrode spacing (IES) on complex fractionated atrial electrograms (CFAEs) and dominant frequency (DF) detection was assessed. Bipolar electrograms were recorded via an octapolar catheter (2-mm electrode spacing) from left...

Smith, AF.; Schal, C., 1990: Corpus allatum control of sex pheromone production and calling in the female brown-banded cockroach, Supella longipalpa (F.) (Dictyoptera: Blattellidae). The neural and endocrine regulation of pheromone production and release (calling) was investigated in adult female Supella longipalpa. Virgin adult females initiated pheromone production and calling at 4 and 6.15±0.91 days, respectively. Allatect...