Percutaneous cryoablation for stage T1b renal cell carcinoma in a patient with horseshoe kidney

Kanichiro Shimizu, MD; Hisayo Furube, MD; Kenkichi Michimoto, MD; Takafumi Yanagisawa, MD; Jun Miki, MD; Koichi Kishimoto, MD; Shunichi Sadaoka, MD

Radiology Case Reports (Jun 2018)

Percutaneous cryoablation for stage T1b renal cell carcinoma in a patient with horseshoe kidney

Kanichiro Shimizu, MD,
Hisayo Furube, MD,
Kenkichi Michimoto, MD,
Takafumi Yanagisawa, MD,
Jun Miki, MD,
Koichi Kishimoto, MD,
Shunichi Sadaoka, MD

Affiliations

Kanichiro Shimizu, MD: Department of Radiology, The Jikei University School of Medicine, Kashiwa Hospital, 163-1 Kashiwa-shita Kashiwa-shi, Chiba 277-8567, Japan; Corresponding author.
Hisayo Furube, MD: Department of Radiology, The Jikei University School of Medicine, Kashiwa Hospital, 163-1 Kashiwa-shita Kashiwa-shi, Chiba 277-8567, Japan
Kenkichi Michimoto, MD: Department of Radiology, The Jikei University School of Medicine, Kashiwa Hospital, 163-1 Kashiwa-shita Kashiwa-shi, Chiba 277-8567, Japan
Takafumi Yanagisawa, MD: Department of Urology, The Jikei University School of Medicine, Kashiwa Hospital, Chiba, Japan
Jun Miki, MD: Department of Urology, The Jikei University School of Medicine, Kashiwa Hospital, Chiba, Japan
Koichi Kishimoto, MD: Department of Urology, The Jikei University School of Medicine, Kashiwa Hospital, Chiba, Japan
Shunichi Sadaoka, MD: Department of Radiology, The Jikei University School of Medicine, Kashiwa Hospital, 163-1 Kashiwa-shita Kashiwa-shi, Chiba 277-8567, Japan

Journal volume & issue: Vol. 13, no. 3
pp. 606 – 609

Abstract

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We report the first case of percutaneous cryoablation (PCA) for stage T1b renal cell carcinoma (RCC) in a horseshoe kidney (HK). A 76-year-old man with an HK underwent computed tomography-guided PCA for RCC measuring 42 mm (stage T1b) in diameter. Although transcatheter embolization before the PCA and hydrodissection were required to avoid complication and incomplete ablation, PCA was successfully performed without complication. The complete ablation was confirmed on computed tomography images 1 month after the procedure. There was no recurrence or metastasis during 2 years of follow-up. We believe this is the first report of PCA for stage T1b RCC in a patient with HK. This technique can be performed without regard to tumor size and location and may be considered as a treatment option to avoid complex surgery. Keywords: Cryoablation, Renal cell carcinoma, Horseshoe kidney

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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