Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk.
BJU Int. 2010 Oct;106(8):1130-6. doi: 10.1111/j.1464-410X.2010.09506.x. Epub 2010 Aug 25.
There are a range of treatment strategies for the management of patients with small incidental renal cortical tumours including active surveillance, radiofrequency ablation, cryotherapy, radical nephrectomy and partial nephrectomy. A large number of such tumours are benign and might therefore be over-treated with radical nephrectomy. There are emergent short-term oncological and clinical outcomes for cryotherapy and radiofrequency ablation, and recent studies have illustrated the benefits of partial nephrectomy for minimizing the risk of progression to chronic kidney disease. The outcomes of these different treatment methods are discussed.
对于小的偶然发现的肾皮质肿瘤患者的管理,有一系列的治疗策略,包括主动监测、射频消融、冷冻治疗、根治性肾切除术和部分肾切除术。大量的此类肿瘤是良性的,因此可能会被过度治疗为根治性肾切除术。冷冻治疗和射频消融术有紧急的短期肿瘤学和临床结果,最近的研究表明部分肾切除术对最小化进展为慢性肾脏病的风险是有益的。讨论了这些不同治疗方法的结果。