Role of Percutaneous Ablation in Renal Cell Carcinoma
Publication Date: January 5, 2020
Recommendations
In patients with small renal tumors (stage T1a), percutaneous thermal ablation is a safe and effective treatment with fewer complications than nephrectomy and acceptable long-term oncological and survival outcomes. (C, Moderate)
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In selected patients with suspected T1a RCC, percutaneous thermal ablation should be offered over active surveillance. (C, Moderate)
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Percutaneous biopsy of small renal masses is recommended before or during percutaneous ablation, whenever possible. (C, Moderate)
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In high-risk patients with T1b RCC who are not surgical candidates, percutaneous thermal ablation may be an appropriate treatment option; however, further research in this area is required. (D, Weak)
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Percutaneous ablation of oligometastatic RCC may be appropriate in patients with surgically resectable primary RCC who are not candidates for metastasectomy. (D, Weak)
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Radiofrequency ablation, cryoablation, and microwave ablation are all appropriate modalities for thermal ablation, and method of ablation should be left to the discretion of the operating physician. (D, Weak)
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Recommendation Grading
Disclaimer
Overview
Title
Role of Percutaneous Ablation in Renal Cell Carcinoma
Authoring Organization
Society of Interventional Radiology
Publication Month/Year
January 5, 2020
Document Type
Other
External Publication Status
Published
Country of Publication
US
Document Objectives
In this document, the Society of Interventional Radiology (SIR) states its position on the use of ablation for the management of RCC, with a focus on small renal masses, biopsy, and cases of oligometastatic disease.
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Older adult
Health Care Settings
Hospital, Outpatient, Radiology services
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management, Treatment
Diseases/Conditions (MeSH)
D007674 - Kidney Diseases, D007680 - Kidney Neoplasms
Keywords
renal cell carcinoma (RCC), ablation, renal cell carcinoma, renal_cell_carcinoma
Source Citation
Society of Interventional Radiology Position Statement on the Role of Percutaneous Ablation in Renal Cell Carcinoma
Morris, Christopher S. et al.Journal of Vascular and Interventional Radiology, Volume 31, Issue 2, 189 - 194.e3