THERMAL ABLATION (RFA & MICROWAVE) OF RENAL TUMOR
What it is:
  • It is an image-guided minimally invasive technique that uses heat to destroy cancer cells. Various techniques like RFA or microwave are used to generate heat.
  • In RFA, imaging techniques such as ultrasound or computed tomography (CT) are used to help guide a needle electrode into a cancerous tumour. High-frequency electrical currents are then passed through the electrode to creating focal heat that destroys the cancer cells surrounding the electrode.
  • Microwave ablation, also a minimally-invasive cancer treatment, also uses ultrasound or computed tomography (CT) to guide placement of a specialized needle-like probe into a tumour and uses microwaves to heat and destroy it.
Why it is preferred over traditional therapy:
  • It is a minimally invasive procedure (No surgical incision).
  • It may be used in addition to chemotherapy or radiation therapy or as an alternative to surgical treatment.
  • Thermal ablation is a viable and effective treatment option if you:
    • Not a good candidate for surgery because your tumour is difficult to reach.
    • Other medical conditions that make surgery especially risky.
    • Having renal tumours that have not responded to chemotherapy or that have recurred after being removed surgically.
  • In most studies, renal tumours treated by thermal ablation have not recurred (Recurrence rate <5 %).
Preparation for procedure:
  • Few basic blood investigations like CBC, PT/INR, viral markers.
  • Fasting for 4-6 hrs.
  • Bring all the records including imaging record.
  • Signing consent form.
What are risk:
  • Very rare; Pain, perinephric hematoma, Fever and post ablation syndrome (Controlled by medication).

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