First Percutaneous Computed Tomography-guided Radiofrequency Ablation of Renal Tumor in Horseshoe Kidney - 06/08/11
, Gonzalo Bueno-Chomón a, Enrique Lledó-García a, David Subirá-Ríos a, Enrique Ramón-Botella b, Carlos Hernández-Fernández a
Reprint requests: Adrián Husillos-Alonso, M.D., C/Doctor Esquerdo No. 46 28007 Madrid, Servicio de Urología Hospital General Universitario Gregorio Marañón Madrid 14514 SpainRésumé |
Objective |
To report the first case of percutaneous radiofrequency ablation of a tumor in a horseshoe kidney.
Materials and Methods |
A 75-year-old man presented with a 3-cm solid mass on the isthmus of a horseshoe kidney. The tumor was discovered incidentally on a routine computed tomography scan performed during follow-up of a colon carcinoma treated with open hemicolectomy. The patient presented a high anesthetic risk (American Society of Anesthesiologists score of 3) because of a comorbid cardiovascular condition. Biopsy of the mass revealed type I papillary carcinoma. We performed percutaneous radiofrequency ablation using a posterior approach.
Results |
No complications occurred, and postoperative computed tomography 3 months after the procedure showed no significant contrast enhancement in the treated area.
Conclusions |
To our knowledge, this is the first case of a tumor in a horseshoe kidney satisfactorily treated with percutaneous radiofrequency ablation. The technique could represent an alternative to traditional surgery in selected cases.
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Vol 78 - N° 2
P. 466-468 - août 2011 Retour au numéro
Article précédent
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