Is percutaneous image-guided renal tumour ablation ready for prime time?

Is percutaneous image-guided renal tumour ablation ready for prime time? Br J Radiol. 2020 Jun 16;:20200284 Authors: Cazzato RL, Garnon J, De Marini P, Auloge P, Koch G, Dalili D, Buy X, Palussiere J, Rao PP, Tricard T, Lang H, Gangi A Abstract In the last few decades, thermal ablation (TA) techniques have been increasingly applied to treat small localized renal cell carcinomas (RCC). Despite this trend, there is still an underuse of TA compared to surgery and a substantial lack of high-quality evidence derived from large, prospective, randomized controlled trials comparing the long-term oncologic outcomes of TA and surgery. Therefore, in this narrative review, we assess published guidelines and recent literature concerning the diagnosis and management of kidney-confined RCC to understand whether percutaneous image-guided TA is ready to be proposed as a first-line treatment. PMID: 32543890 [PubMed - as supplied by publisher]
Source: The British Journal of Radiology - Category: Radiology Authors: Tags: Br J Radiol Source Type: research