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Updated: Jan 20, 2026

In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
Published on: March 30, 2015
Percutaneous image-guided renal ablations: Current evidences for long-term oncologic efficacy
Maud Nouri-Neuville1, Mohamed Ben Ammar1, François H Cornelis1
1Department of Radiology, Interventional Radiology/Interventional Oncology, Sorbonne Université/AP-HP, Hôpital Tenon, 4, rue de la Chine, 75020 Paris, France.
Small renal neoplasms can be treated with nephron-sparing options like partial nephrectomy or percutaneous ablation. Renal ablation techniques are now recommended therapeutic options for patients when complete tumor removal is achievable.
Area of Science:
- Oncology
- Urology
- Minimally Invasive Surgery
Background:
- Increasing incidental discovery of small renal neoplasms necessitates effective nephron-sparing treatments.
- Partial nephrectomy, percutaneous ablation, and active surveillance are key management strategies.
- Renal ablation techniques have advanced significantly, offering new therapeutic avenues.
Purpose of the Study:
- To review the current status and recommendations for nephron-sparing treatment strategies for small renal neoplasms.
- To highlight the technical maturity and therapeutic potential of percutaneous renal ablation.
Main Methods:
- Review of current literature on renal neoplasm treatment.
- Focus on percutaneous ablation modalities including radiofrequency ablation, microwave ablation, and cryoablation.
- Evaluation of imaging guidance and long-term outcomes for ablation therapies.
Main Results:
- Percutaneous renal ablation (radiofrequency, microwave, cryoablation) is technically mature and widely available.
- Long-term results support the recommendation of renal ablation as a viable therapeutic option.
- Successful ablation is achievable under imaging guidance, regardless of patient condition.
Conclusions:
- Percutaneous renal ablation is a recommended therapeutic option for small renal neoplasms.
- The technique's maturity and long-term efficacy support its use when complete ablation is feasible.
- Nephron-sparing approaches, including ablation, are crucial for managing incidentally detected renal tumors.
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