Consider thermal ablation an alternate approach for management of cT1a kidney masses <3 cm in size. A percutaneous approach is preferred. |
Both radiofrequency ablation and cryoablation are options. |
A kidney mass biopsy should be obtained prior to or concomitant with thermal ablation. |
Counseling about thermal ablation should include information regarding increased likelihood of tumor persistence/recurrence after primary thermal ablation, which may be addressed with repeat thermal ablation if further intervention is elected. |
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