移植肾中肾细胞癌的经皮冷冻消融术。

Percutaneous cryoablation of a renal cell carcinoma in a transplanted kidney.

作者信息

Silvestri Tommaso, Stacul Fulvio, Bertolotto Michele, Artero Mary, Siracusano Salvatore

机构信息

University of Trieste, Trieste, Italy.

出版信息

Can J Urol. 2014 Aug;21(4):7390-2.

PMID:25171285

Abstract

In patients who undergo renal transplantation urinary tract tumors have an incidence of approximately 1.5%-3.3%. We report a rare case of renal cell carcinoma occurring in a transplanted kidney 25 years after the transplant. The lesion was treated by CT-guided percutaneous cryoablation with the ablation of renal lesion. This approach offers more accuracy compared with ultrasonography (US), and it is faster compared to magnetic resonance (MR) guidance. In transplanted kidneys CT-guided cryoablation seems to be safe.

摘要

接受肾移植的患者中，尿路肿瘤的发生率约为1.5%-3.3%。我们报告了1例肾移植25年后移植肾发生肾细胞癌的罕见病例。该病变通过CT引导下经皮冷冻消融术进行治疗，消融了肾脏病变。与超声检查（US）相比，这种方法具有更高的准确性，与磁共振（MR）引导相比则更快。在移植肾中，CT引导下的冷冻消融术似乎是安全的。