Veltri Andrea, Grosso Maurizio, Castagneri Francesca, Garetto Irene, Sacchetto Paola, Tosetti Irene, Stratta Piero, Terrone Carlo, Fava Cesare
Institute of Radiology, University of Turin, Torino, Italy.
J Vasc Interv Radiol. 2009 May;20(5):674-9. doi: 10.1016/j.jvir.2009.01.018. Epub 2009 Mar 19.
Small tumors in transplanted kidneys are rarely detected during follow-up. With surgical treatment, it is sometimes challenging to preserve the graft and its function. Image-guided ablation techniques have been recently reported as effective in treating these tumors. Herein three cases of radiofrequency (RF) thermal ablation in transplanted kidneys are reviewed and compared with cases in the literature. There were no major complications seen, the mean change in serum creatinine level was no greater than 0.1 mg/dL, and complete ablation was sustained on imaging studies at 3, 18, and 62 months follow-up. RF ablation can be considered a safe, function-preserving, and effective evolving therapeutic option for small tumors in transplanted kidneys.
移植肾中的小肿瘤在随访期间很少被发现。采用手术治疗时，有时要保留移植肾及其功能颇具挑战性。图像引导下的消融技术最近被报道对治疗这些肿瘤有效。本文回顾了3例移植肾射频（RF）热消融病例，并与文献中的病例进行了比较。未观察到重大并发症，血清肌酐水平的平均变化不超过0.1mg/dL，在3个月、18个月和62个月的随访影像学检查中均维持了完全消融状态。对于移植肾中的小肿瘤，射频消融可被视为一种安全、保留功能且有效的不断发展的治疗选择。
