Current opinion in urology 2017: Focal therapy of small renal lesions

Brett A. Johnson, Jeffrey A Cadeddu

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Purpose of review With the increasing incidence of small renal masses (SRMs), ablative technologies are becoming more commonly utilized. With any nascent treatment modality, outcomes literature needs to be constantly re-evaluated. The purpose of this review is to revisit the most updated literature regarding the safety and efficacy of ablative treatments of renal lesions. Recent findings Recent literature demonstrates that small renal tumor ablation is safe and effective. Although it does not have the same oncological efficacy of surgical extirpation, local recurrence-free survival has consistently shown to be around 90%. Cryoablation and radiofrequency ablation have longer-term data demonstrating durable responses. Microwave ablation and irreversible electroporation are promising modalities with longer-term data coming. Complication rates and procedural morbidity of ablation are consistently lower than for partial nephrectomy. Summary Image-guided focal ablation is a valuable tool in the management of SRMs. Although it does not have the same efficacy of surgical extirpation, with the ability to perform repeat procedures and salvage surgery if necessary, oncologic outcomes are comparable to those of upfront surgery. Ultimately, longer-term studies and prospective trials are needed to further elucidate these modalities.

Original languageEnglish (US)
Pages (from-to)166-171
Number of pages6
JournalCurrent Opinion in Urology
Volume28
Issue number2
DOIs
StatePublished - Mar 1 2018

Keywords

  • cryoablation
  • irreversible electroporation
  • kidney cancer
  • microwave ablation
  • radio-frequency ablation
  • renal cell carcinoma
  • renal mass ablation
  • small renal mass
  • thermal ablation

ASJC Scopus subject areas

  • Urology

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