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Endourology Progress pp 253–262Cite as

Thermal Ablation for Small Renal Masses

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Abstract

Renal masses are now being detected and properly staged earlier because of advances in imaging. Surgery remains as the gold standard for treatment, with partial nephrectomy as the treatment of choice for small renal masses. A less invasive, nephron-sparing treatment alternative is ablation therapy, especially offered to patients with small renal masses (3 to 4 cm or less), elderly patients, patients with impaired renal function, or patients with co-morbidity, as it entails less anesthetic requirements, lower cost, shorter hospital stay, faster recovery, and reduced mortality and morbidity. Such ablative techniques include radiofrequency and microwave ablation that can be done through open surgery, laparoscopic surgery, or image-guided percutaneous techniques. Evaluation prior to thermal ablation should include contrast-enhanced CT scan. A biopsy is also done prior to tumor ablation to confirm the diagnosis. Major complications, such as hemorrhage, are infrequent. Patients are followed up regularly with imaging to determine treatment success.

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Authors and Affiliations

  1. Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines College of Medicine, Manila, Philippines

    Joel Patrick A. Aldana & Joshua Anton O. Yabut

  2. Section of Interventional Radiology, Department of Radiology, Philippine General Hospital, University of the Philippines College of Medicine, Manila, Philippines

    Jolly Jason S. Catibog & Cindy Pearl J. Sotalbo

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  1. Joel Patrick A. Aldana
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  2. Jolly Jason S. Catibog
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  3. Cindy Pearl J. Sotalbo
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  4. Joshua Anton O. Yabut
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Editor information

Editors and Affiliations

  1. Department of Surgery, The Chinese University of Hong Kong, Hong Kong, Hong Kong

    Eddie Shu-yin Chan

  2. Department of Urology and Andrology, Kansai Medical University, Hirakata, Osaka, Japan

    Tadashi Matsuda

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© 2019 Springer Nature Singapore Pte Ltd.

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Aldana, J.P.A., Catibog, J.J.S., Sotalbo, C.P.J., Yabut, J.A.O. (2019). Thermal Ablation for Small Renal Masses. In: Chan, Ey., Matsuda, T. (eds) Endourology Progress. Springer, Singapore. https://doi.org/10.1007/978-981-13-3465-8_32

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  • DOI: https://doi.org/10.1007/978-981-13-3465-8_32

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  • Online ISBN: 978-981-13-3465-8

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