Presentation
Left upper pole 2.5 cm solid lesion. Solitary left kidney with past history of right nephrouretectomy for high grade pelvicaliceal TCC.
Patient Data
Contrast enhanced MRI showing a 2.5 cm left upper pole exophytic solid renal tumor.
CT guided renal tumor ablation procedure.
Contrast enhanced (portal venous phase) CT follow up performed at 3 and 6 months post ablation. No tumor growth or enhancement is demonstrated, showing good response to treatment.
Case Discussion
This case demonstrates CT-guided renal tumor ablation for a patient with a 2.5 cm solid renal tumor in a solitary kidney, with good response to treatment on follow up CT in 3 and 6 months.
Renal tumor ablation is a treatment option for T1a renal tumors, particularly where nephron-sparing treatment is a priority, performed by interventional radiologists under CT or ultrasound guidance.