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Thermal ablation for a kidney mass

Thermal ablation for a kidney mass
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.
Adapted with permission of AUA from: Campbell SC, Clark PE, Chang SS, et al: Renal Mass and Localized Renal Cancer: Evaluation, Management, and Follow-Up: AUA Guideline Part I. J Urol 2021; 206: 199. Copyright © 2021 American Urological Association.
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