Percutaneous ablation of small renal tumours: Current status

Miltiadis Krokidis


The detection rate of small renal cell carcinoma (RCC) has been significantly increased in the last twenty years due to the expansion of number of diagnostic scans performed for other reasons. The management of small, asymptomatic RCC generates significant controversy. The gold standard still remains surgical excision; nevertheless nephron sparing minimal invasive ablation treatment appears to offer similar oncologic outcomes and less complication than surgery. Active surveillance is only reserved for patients that are not suitable for any treatment. Purpose of this review article is to present the current evidence on the ablation of small RCC and to delineate the role of this minimal invasive treatment in the management conundrum of such patients.

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