Renal cell carcinoma (RCC) is most commonly diagnosed at an early (T1a) stage and
is typically amenable to several effective treatments. The current gold standard therapy
is partial nephrectomy, given its decreased morbidity and similar oncologic outcomes
when compared with radical nephrectomy. Thermal ablation is an evolving definitive
therapy for T1a RCC which is even less invasive than partial nephrectomy. This article
reviews the evidence for thermal ablation in the treatment of T1a RCC and compares
outcomes of existing ablation modalities with surgical management.
Keywords
renal cell carcinoma - partial nephrectomy - cryoablation - thermal ablation - microwave
ablation - radiofrequency ablation