What Is the Contemporary Role of Radiofrequency Ablation in the Management of Small Renal Masses? Are Small Lesions the Radiologist's Tumors?

Salagierski, Maciej; Akdoğan, Bülent; Brookman‐May, Sabine; Dobrowolska-Glazar, Barbara; Ficarra, Vincenzo; Langenhuijsen, Johan F.; Marszalek, Martin; Minervini, Andrea; Rodríguez-Faba, Óscar; Roscigno, Marco; Vandromme, Alkuin; Volpe, Alessandro; Joniau, Steven

doi:10.1016/j.eururo.2012.09.056

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…In the West 60% of the patients present as T1a lesion, whereas only 16% of our patients fall in the category. 9 Renal masses were more common among males in our series which is similar to the world literatures. 10 In the West 48-66% of small renal masses are detected incidentally.…”

Section: Discussionsupporting

confidence: 91%

Nephron Sparing Surgery for Small Renal Mass at a University Teaching Hospital: A Six Years Retrospective Review

Poudyal

Dhital

et al. 2019

Journal of Institute of Medicine

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Introduction: Nephron-sparing surgery (NSS) is the standard of care for clinical T1 (cT1), renal mass less than 7 cm, whenever intervention is indicated. It has ontological outcome equivalent to radical nephrectomy in small renal masses and it also minimizes the progression to chronic kidney disease. However, there is paucity of data on outcomes of NSS in Nepalese population. Methods: A six years retrospective review of medical records of patients undergoing partial nephrectomy from Jan 2012 to Dec 2017 in Department of Urology and Kidney Transplant Surgery at Tribhuvan University Teaching Hospital was done to determine its demographics and outcomes. Results: Twenty eight patients underwent nephron sparing surgery for clinical T1 renal masses in the past six years. Complications occurred in three cases. Five of the lesions were benign and 23 malignant on final histology. Clear cell carcinoma was the commonest variant of renal cell cancer. Margin was positive in two cases and both were kept in close surveillance. There was no local recurrence and renal impairment during five to 60 months follow up. Conclusion: Nephron sparing surgery is a safe procedure with good oncological outcome for clinical T1 renal mass. It prevents unnecessary nephrectomy in benign lesions as well as chronic renal impairment at the same time.

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Section: Discussionsupporting

confidence: 91%

Nephron Sparing Surgery for Small Renal Mass at a University Teaching Hospital: A Six Years Retrospective Review

Poudyal

Dhital

et al. 2019

Journal of Institute of Medicine

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“…Since the 1970s, the incidence of RCC has increased by an average of 3% per year for whites and 4% per year for blacks [6,7]. Renal cell carcinoma is the 16th most common cause of cancer death worldwide with highest incidence in Czech Republic and lowest rates in South East Asia [8,9].…”

Section: Discussionmentioning

confidence: 99%

Decadal Experience of Renal Cell Carcinoma from a Tertiary Care Teaching Institute in North India

Singh

Janak

Ashok

et al. 2018

Indian J Surg Oncol

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To study the current trends of renal cell carcinoma (RCC) in terms of demographic characteristics, clinical presentation, staging, mode of management, histopathology, and survival characteristics from a high volume tertiary care teaching institute in North India. We retrospectively reviewed the records of all patients of RCC between January 2006 and December 2015 and variables like age, gender, symptoms, tumor size/location/number, stage, type of surgery, histopathology, and survival characteristics were studied. One hundred forty-four patients were included in the study. Most common age group of presentation was 50-59 years (29.8%), male to female ratio was 2.5, and majority of cases were smokers. Flank pain was the most common presenting complaint (38.2%), classical triad (pain, fever, hematuria) was present in 25%, and incidental diagnosis was made in 11.1% cases. Stage T2a was most common presentation with majority of tumors present in upper pole (27.1%). Renal vein involvement (T3a) was present in 10.4%, hilar lymph node involvement in 25%, and distant metastasis was observed in 20.1% cases. Radical nephrectomy was most common surgery performed (75%) and clear cell carcinoma was the most common histopathology (75.7%) followed by papillary (11.1%). Women reported more chromophobe type and low-grade cancers, although rest of clinico-pathological features did not show any gender difference. Mean follow-up of the study was 6-122 months with younger (< 29 years) patients reporting lower 5-year survival and higher stage disease. Renal cell carcinoma shows a different trend in our study population, compared to western data, with large size tumors and advanced stage presentation being more common.

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“…In the last 10-15 years, there has been a rapid advance in the use of RF for the treatment of different types of tumors. [6][7][8] Powerful energy generators have been developed, the puncture needles have been redesigned to obtain a larger area of necrosis. Different methods have been implemented to avoid heat dissipation during RF, such as large vessel embolization or temporal occlusion.…”

Section: Introductionmentioning

confidence: 99%

Radiofrequency ablation: a review of current knowledge, therapeutic perspectives, complications, and contraindications

Guzmán-Cabrera¹

2018

IJBSBE

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What Is the Contemporary Role of Radiofrequency Ablation in the Management of Small Renal Masses? Are Small Lesions the Radiologist's Tumors?

Cited by 6 publications

References 9 publications

Nephron Sparing Surgery for Small Renal Mass at a University Teaching Hospital: A Six Years Retrospective Review

Nephron Sparing Surgery for Small Renal Mass at a University Teaching Hospital: A Six Years Retrospective Review

Decadal Experience of Renal Cell Carcinoma from a Tertiary Care Teaching Institute in North India

Radiofrequency ablation: a review of current knowledge, therapeutic perspectives, complications, and contraindications

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