Journal
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
Volume 44, Issue 12, Pages 2022-2025Publisher
SPRINGER
DOI: 10.1007/s00270-021-02935-w
Keywords
Von Hippel-Lindau disease; Renal cell carcinoma; Renal tumor; Renal mass; Radiofrequency ablation
Funding
- Projekt DEAL
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The study found that radiofrequency ablation (RFA) is safe and effective for treating renal cell carcinomas in patients with Von Hippel-Lindau disease, and can preserve sufficient renal function even after renal surgery, with low risk of recurrence.
Purpose Patients with Von Hippel-Lindau disease often develop multifocal, metachronous renal cell carcinomas which require therapy. The purpose of this retrospective single-center study is to evaluate the outcomes of radiofrequency ablation (RFA) in the treatment of renal cell carcinomas in patients with Von Hippel-Lindau disease. Materials and Methods 9 patients (4 male, 5 female, 47.9 +/- 10.7 y/o) with Von Hippel-Lindau disease underwent 18 CT-guided percutaneous RFA procedures for the treatment 21 renal cell carcinomas (largest diameter: 32.9 +/- 8.6 mm, cT1a: 16, cT1b: 5). Seven patients were previously treated either by partial or radical nephrectomy. Technical success, effectiveness, safety, progression-free survival, overall survival and tumor characteristics were analyzed. Results All RFA procedures were technically successful without major complications. There were 5 minor complications. No residual or recurrent tumor was seen in the ablation zone during a follow-up of 34.0 +/- 18.1 months (0-58 months). No patient required dialysis during follow-up. One patient died after 63 months after the first treatment due to complications from a cerebellar hemangioblastoma. No endpoint was reached for overall or progression-free survival. Conclusions The results from this limited case series suggest that RFA of RCCs in patients with VHL is a safe and effective therapy, which can preserve sufficient renal function even after renal surgery.
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