McCarthy Colin J, Gervais Debra A
Division of Abdominal Imaging, Massachusetts General Hospital, Boston, Massachusetts.
Semin Intervent Radiol. 2017 Jun;34(2):167-175. doi: 10.1055/s-0037-1602708. Epub 2017 Jun 1.
Renal cell carcinoma is a relatively common tumor, with an estimated 63,000 new cases being diagnosed in the United States in 2016. Surgery, be it with partial or total nephrectomy, is considered the mainstay of treatment for many patients. However, those patients with small renal masses, typically less than 3 to 4 cm in size who are deemed unsuitable for surgery, may be suitable for percutaneous thermal ablation. We review the various treatment modalities, including radiofrequency ablation, microwave ablation, and cryoablation; discuss the advantages and disadvantages of each method; and review the latest data concerning the performance of the various ablative modalities compared with each other, and compared with surgery.
肾细胞癌是一种相对常见的肿瘤，2016年美国估计有63000例新诊断病例。手术，无论是部分肾切除术还是全肾切除术，被认为是许多患者的主要治疗方法。然而，那些肾肿块较小（通常小于3至4厘米）且被认为不适合手术的患者，可能适合经皮热消融治疗。我们回顾了各种治疗方式，包括射频消融、微波消融和冷冻消融；讨论了每种方法的优缺点；并回顾了关于各种消融方式相互之间以及与手术相比的最新性能数据。
