Treatment of small renal tumors with ablative techniques

Small renal tumor is a radiologically detected renal mass up to four cm in diameter. Surgery is the main therapeutic option in the treatment of these tumors, but in elderly and comorbid patients ablative techniques are the alternative. The aim of this paper is to report our experience in the treatme...

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Autores principales:	Ana Marija Alduk, Nikola Knežević, Tomislav Kuliš, Eleonora Goluža, Ivica Sjekavica, Željko Kaštelan
Formato:	article
Lenguaje:	EN HR
Publicado:	Hrvatski liječnički zbor 2021
Materias:	kidney neoplasms – diagnosis pathology surgery; carcinom renal cell - diagnosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/721ad316292b474c810bad4cf7ec67f1
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spelling	oai:doaj.org-article:721ad316292b474c810bad4cf7ec67f12021-12-01T12:44:04ZTreatment of small renal tumors with ablative techniques10.26800/LV-143-1-2-10024-34771849-2177https://doaj.org/article/721ad316292b474c810bad4cf7ec67f12021-02-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/lijecenje-malih-tumora-bubrega-ablacijskim-metodama/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Small renal tumor is a radiologically detected renal mass up to four cm in diameter. Surgery is the main therapeutic option in the treatment of these tumors, but in elderly and comorbid patients ablative techniques are the alternative. The aim of this paper is to report our experience in the treatment of small renal tumors with ablative techniques. We retrospectively analyzed patient records of individuals treated with radiofrequency and microwave ablation at the University hospital center Zagreb in the period from January 2017 to August 2019. An appropriate radiological and preoperative work-up was performed for all subjects, and then tumor biopsy and ablation. Patients were followed using the standard follow-up schedule: three, six, and 12 months after the procedure, and then annually, using radiological methods. Ablation of 32 small renal tumors was performed for 31 patients, 27 of which were radiofrequency and seven microwave ablations. One-year overall and cancer specific survival was 100%. In 12.9% of patients a residual mass was diagnosed – three were retreated with ablation and one underwent radical nephrectomy. We had four ClavienDindo grade 2 complications. Ablative techniques are an oncologically effective and safe treatment option for patients that are unfit for surgery.Ana Marija AldukNikola KneževićTomislav KulišEleonora GolužaIvica SjekavicaŽeljko KaštelanHrvatski liječnički zborarticlekidney neoplasms – diagnosispathologysurgery; carcinomrenal cell - diagnosisMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 1-2, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN HR
topic	kidney neoplasms – diagnosis pathology surgery; carcinom renal cell - diagnosis Medicine (General) R5-920
spellingShingle	kidney neoplasms – diagnosis pathology surgery; carcinom renal cell - diagnosis Medicine (General) R5-920 Ana Marija Alduk Nikola Knežević Tomislav Kuliš Eleonora Goluža Ivica Sjekavica Željko Kaštelan Treatment of small renal tumors with ablative techniques
description	Small renal tumor is a radiologically detected renal mass up to four cm in diameter. Surgery is the main therapeutic option in the treatment of these tumors, but in elderly and comorbid patients ablative techniques are the alternative. The aim of this paper is to report our experience in the treatment of small renal tumors with ablative techniques. We retrospectively analyzed patient records of individuals treated with radiofrequency and microwave ablation at the University hospital center Zagreb in the period from January 2017 to August 2019. An appropriate radiological and preoperative work-up was performed for all subjects, and then tumor biopsy and ablation. Patients were followed using the standard follow-up schedule: three, six, and 12 months after the procedure, and then annually, using radiological methods. Ablation of 32 small renal tumors was performed for 31 patients, 27 of which were radiofrequency and seven microwave ablations. One-year overall and cancer specific survival was 100%. In 12.9% of patients a residual mass was diagnosed – three were retreated with ablation and one underwent radical nephrectomy. We had four ClavienDindo grade 2 complications. Ablative techniques are an oncologically effective and safe treatment option for patients that are unfit for surgery.
format	article
author	Ana Marija Alduk Nikola Knežević Tomislav Kuliš Eleonora Goluža Ivica Sjekavica Željko Kaštelan
author_facet	Ana Marija Alduk Nikola Knežević Tomislav Kuliš Eleonora Goluža Ivica Sjekavica Željko Kaštelan
author_sort	Ana Marija Alduk
title	Treatment of small renal tumors with ablative techniques
title_short	Treatment of small renal tumors with ablative techniques
title_full	Treatment of small renal tumors with ablative techniques
title_fullStr	Treatment of small renal tumors with ablative techniques
title_full_unstemmed	Treatment of small renal tumors with ablative techniques
title_sort	treatment of small renal tumors with ablative techniques
publisher	Hrvatski liječnički zbor
publishDate	2021
url	https://doaj.org/article/721ad316292b474c810bad4cf7ec67f1
work_keys_str_mv	AT anamarijaalduk treatmentofsmallrenaltumorswithablativetechniques AT nikolaknezevic treatmentofsmallrenaltumorswithablativetechniques AT tomislavkulis treatmentofsmallrenaltumorswithablativetechniques AT eleonoragoluza treatmentofsmallrenaltumorswithablativetechniques AT ivicasjekavica treatmentofsmallrenaltumorswithablativetechniques AT zeljkokastelan treatmentofsmallrenaltumorswithablativetechniques
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Treatment of small renal tumors with ablative techniques

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