Percutaneous Ablation of T1b Renal Cell Carcinoma: An Overview.

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI:10.1007/s11912-024-01531-8
Alyssa Knight, Andrew J Gunn
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Abstract

Purpose of review: There is increasing incidence of renal cell carcinoma (RCC) with multiple treatment options currently available. The purpose of this review is to outline patient selection and technical approaches and present the current literature for percutaneous ablation of T1b (4.1-7 cm) RCC.

Recent findings: An increasing number of retrospective studies and meta-analyses have evaluated the use of percutaneous ablation for T1b RCC. Overall, these studies tend to show that percutaneous ablation in this patient population is feasible. However, rates of major adverse events and local recurrence after percutaneous ablation for T1b RCC are both higher than when ablation is used for smaller tumors. As such, a multi-disciplinary, patient-centered approach is required. Due to the increasing literature in this area, the most recent National Comprehensive Cancer Network (NCCN) guidelines include percutaneous ablation as an option for non-surgical patients with T1b RCC.

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经皮消融 T1b 肾细胞癌:概述。
综述目的:肾细胞癌(RCC)的发病率越来越高,目前有多种治疗方案可供选择。本综述旨在概述患者选择和技术方法,并介绍目前经皮消融 T1b(4.1-7 厘米)RCC 的文献:越来越多的回顾性研究和荟萃分析评估了经皮消融术在T1b RCC中的应用。总体而言,这些研究倾向于表明经皮消融术在这类患者中是可行的。不过,T1b RCC 经皮消融术后的主要不良事件发生率和局部复发率均高于较小肿瘤的消融术。因此,需要采取以患者为中心的多学科方法。由于这方面的文献越来越多,美国国家综合癌症网络(NCCN)的最新指南将经皮消融作为 T1b RCC 非手术患者的一种选择。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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