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[肾切除术后孤立肾患者CT引导下肾细胞癌射频消融术:病例报告]

[CT-guided radiofrequency ablation of renal cell carcinoma in a patient with solitary kidney after contralateral nephrectomy: a case report].

作者信息

Yasui Kotaro, Kanazawa Susumu, Iguchi Toshihiro, Fujiwara Hiroyasu, Hiraki Yoshio

机构信息

Department of Radiology, Okayama University Hospital.

出版信息

Nihon Igaku Hoshasen Gakkai Zasshi. 2003 Jan;63(1):59-61.

Abstract

A 62-year-old man with renal cell carcinoma in the solitary kidney after right nephrectomy underwent CT-guided radiofrequency ablation. The tumor, which was located in the dorsal part of the lower aspect of the kidney, was exophytic and measured 2 cm in diameter. A 17-gauge, internally cooled radiofrequency needle electrode was placed percutaneously into the center of the lesion. Dynamic CT 6 days after the first ablation showed band-like residual lesion along the intact renal parenchyma. A second ablation was performed for the residual lesion. CT both 1 and 3 months after the second procedure demonstrated complete ablation with the normal renal parenchyma maintained.

摘要

一名62岁男性,右肾切除术后单肾患肾细胞癌,接受了CT引导下的射频消融术。肿瘤位于肾脏下极背侧,呈外生性,直径2厘米。一根17号内部冷却的射频针电极经皮插入病变中心。首次消融6天后的动态CT显示沿完整肾实质有带状残留病变。对残留病变进行了第二次消融。第二次手术后1个月和3个月的CT均显示消融完全,肾实质保持正常。

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