- Turkish Journal of Medical Sciences
- Vol: 49 Issue: 3
- The effectiveness of RENAL nephrometry score in ablated renal tumors via radiofrequency ablation or ...
The effectiveness of RENAL nephrometry score in ablated renal tumors via radiofrequency ablation or cryoablation
Authors : Seda Aladağ KURT, Cem YÜCEL, Suna Özhan OKTAR, Gonca ERBAŞ, Tevfik Sinan SÖZEN, Ali Yusuf ÖNER
Pages : 761-768
View : 13 | Download : 2
Publication Date : 9999-12-31
Article Type : Makaleler
Abstract :Background/aim: This study aimed to evaluate the clinical efficacy of radiofrequency ablation (RFA) and cryotherapy and to scrutinize the therapeutic success of the RENAL (radius, exophytic/endophytic, nearness to collecting system, anterior/posterior, and location) nephrometry score in terms of possible complications and the predictive status of oncological results.Materials and methods: Forty-five patients with biopsy-proven renal cell carcinomas (32 males, 13 females) treated with RFA and cryotherapy were included. Patients were 22-90 years old (average: 59.2 years). Statistical analyses were performed using SPSS for Windows. Results: A total of 79 lesions with dimensions varying between 0.9 and 4.5 cm (average: 2.2 cm) were ablated. Complete ablation was achieved for 72 (91.1%) lesions. Six repeat RFA sessions were applied for 4 (5%) lesions with residue/recurrence. The average RENAL nephrometry scores of lesions that underwent complete ablation and those that developed residue/recurrence were 6.3 and 7.7, respectively. The average recurrence-free survival time was 34.8 months (range: 3-55 months), while it was 44.6 months (range: 6-55 months) for cryotherapy and 28.6 months (range: 3-50 months) for RFA.Conclusions: Ablative therapies are minimally invasive and effective methods for treating small renal tumors. RENAL nephrometry scoring is a valuable system for standardizing renal tumors and evaluating the success of ablative therapies, possible complications, and oncological results.Keywords : Radiofrequency ablation, cryotherapy, RENAL nephrometry score