Renal tumor ablation

Case contributed by Dr Matthew Lukies

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

Age: 70 years
Gender: Female
MRI

Contrast enhanced MRI showing a 2.5 cm left upper pole exophytic solid renal tumor.

CT

CT guided renal tumor ablation procedure.

CT

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.

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