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Percutaneous Biopsy and Radiofrequency Ablation

  • Ajay K. Singh
  • Debra A. Gervais
  • Peter F. Hahn
  • Peter R. Mueller
Part of the Medical Radiology book series (MEDRAD)

21.4 Conclusion

Image-guided percutaneous renal biopsy is safe and accurate in sampling the lesion and coming to a final histopathological diagnosis. Image-guided renal mass biopsy is useful for avoiding unnecessary surgery for benign masses and in the diagnosis of renal metastases, lymphoma, differentiation of centrally located renal cell carcinoma from renal cell carcinoma, and complex cystic renal lesions. The renal biopsy can be performed with either CT or US guidance, although the majority of the current literature is based on CT-guided procedures. Although radiofrequency ablation has been used most often for liver tumors, its use for renal masses is relatively recent and has shown promising clinical results. Long-term follow-up radiofrequency ablation results for renal masses are still being performed to define the position of this treatment in the management of renal neoplasm. The ideal lesion for radiofrequency ablation in the kidney is single, peripherally located and less than 3 cm diameter renal mass. Radiofrequency ablation of a renal mass is often useful as an alternative to nephron-sparing surgery in poor surgical risk patients and in patients with a solitary kidney. As the frequency of detection of renal masses increases and the utility of percutaneous biopsy and radiofrequency ablation are better defined in the literature, we are likely to see these procedures become more frequent in patient management.

Keywords

Renal Cell Carcinoma Renal Biopsy Radiofrequency Ablation Renal Mass Renal Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Ajay K. Singh
    • 1
  • Debra A. Gervais
    • 1
  • Peter F. Hahn
    • 1
  • Peter R. Mueller
    • 1
  1. 1.Harvard Medical School, Department of Radiology, Division of Emergency RadiologyMassachusetts General HospitalBostonUSA

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