Renal Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza n. 35, 20122, Milan, Italy.
Liver Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122, Milan, Italy.
Cardiovasc Intervent Radiol. 2019 Nov;42(11):1653-1657. doi: 10.1007/s00270-019-02302-w. Epub 2019 Aug 6.
Thermal ablative techniques have been increasingly recognized as a valuable alternative to graftectomy and nephron-sparing surgery for the treatment of small neoplasms arising in the transplanted kidney. However, long-term efficacy and safety data are still lacking. In particular, current experience with microwave ablation is limited to a very recent single-centre series of three cases. We herein report two microwave ablations of renal cell carcinoma of the kidney allograft. The procedures were successfully performed under ultrasound guidance with complete tumour necrosis, no peri-operative complications, and preserved renal function. No recurrences were observed after 3 years of follow-up.
热消融技术已越来越被认为是治疗移植肾中小肿瘤的一种有价值的选择,可替代移植肾切除术和肾部分切除术。然而,长期疗效和安全性数据仍缺乏。特别是,目前微波消融的经验仅限于最近的一个单一中心的三例系列。我们在此报告两例微波消融治疗移植肾肾细胞癌。这些手术在超声引导下成功进行,肿瘤完全坏死,无围手术期并发症,肾功能得到保留。随访 3 年后未见复发。