RESUMO
In oncology practice it has been introduced minimally invasive technology of puncture access for cryodestruction of tumors of various sites as well as obtained positive clinical results.
Assuntos
Criocirurgia/instrumentação , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Recidiva Local de Neoplasia/cirurgia , Neoplasias Cutâneas/cirurgia , Neoplasias do Colo/patologia , Neoplasias do Colo/cirurgia , Feminino , Humanos , Masculino , Metástase Neoplásica , Recidiva Local de Neoplasia/patologia , Punções , Neoplasias Cutâneas/patologiaRESUMO
In the structure of all malignant tumors cancer of the kidney takes more than 3%. Among malignancies of the urogenital system, kidney cancer inferiors by frequency just to cancer of the prostate and bladder. The incidence of kidney cancer ranges from 2.0 to 12.0 per 100,000 of the population. The degree of the local spread of tumor process as well as the presence of regional and distant metastases cause a different approach to treatment of these patients.
Assuntos
Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/terapia , Adulto , Idoso , Feminino , Humanos , Incidência , Neoplasias Renais/epidemiologia , Neoplasias Renais/patologia , Masculino , Pessoa de Meia-Idade , Federação Russa/epidemiologia , Sensibilidade e Especificidade , Ultrassonografia , Neoplasias Urológicas/epidemiologiaAssuntos
Criocirurgia , Neoplasias da Próstata/cirurgia , Biomarcadores Tumorais/sangue , Terapia Combinada , Criocirurgia/efeitos adversos , Fístula/etiologia , Humanos , Masculino , Dor Pós-Operatória/etiologia , Antígeno Prostático Específico/sangue , Neoplasias da Próstata/imunologia , Neoplasias da Próstata/radioterapia , Deiscência da Ferida Operatória/etiologia , Uretra/lesõesRESUMO
Embolization of the renal artery was performed as a palliative measure in 93 inoperable patients at the Center's Clinic in 1991-2000. Radio-endovascular intervention was indicated in cases of bleeding (19, 20.5%), case-history macrohematuria with high risk of relapse (54, 58%) and drug-controlled pain (20, 21.5%). Bleeding was suspended for 3-16 days (average 7.5 +/- 4) after occlusion of the artery in 16 out of 19 patients and decreased significantly in 3 (16%). There was no bleeding after embolization among macrohematuria patients. Pain syndrome was abated in 70% while post-intervention complications occurred in 13%: they were transitory in 6.5% and--fatal in another 6.5%. Catheter-assisted arterial embolization is a fairly safe and efficient means of arresting bleeding from inoperable renal kidney coupled with marked analgesic effect.
Assuntos
Embolização Terapêutica , Neoplasias Renais/terapia , Cuidados Paliativos/métodos , Artéria Renal , Idoso , Idoso de 80 Anos ou mais , Embolização Terapêutica/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do TratamentoRESUMO
An evaluation of the results of radiofrequency ablation of renal clear-cell carcinoma (pT1aN0M0) in 7 patients is presented. The longest follow-up was 26 months, the shortest--4 months. No complication was reported. A review of the literature and our own experience point to radiofrequency ablation being an effective procedure of thermotherapy for small-size peripheral renal neoplasms.
