Case Report

Radiofrequency Ablation Therapy in Renal Clear Cell Carcinoma: A Case Report

  • Mustafa Yıldırım
  • Sevil Göktaş
  • Eda Parlak
  • Utku Dönem Dilli
  • Mustafa Yıldız
  • Mert Köroğlu

Received Date: 07.07.2011 Accepted Date: 19.03.2012 Meandros Med Dent J 2013;14(2):27-29

Clear cell carcinoma is the most common histological subtype of malignant kidney tumors and the incidence is higher in the 6th to 8th decades of life. We discuss here against the background of current literature a seventyyear-old patient who presented to our clinic with pain in the right lumbar region. A diagnosis of clear cell carcinoma was obtained by biopsy and the patient was given radiofrequency ablation treatment. The 70-year old female patient, who had hypertension, diabetes and congestive heart deficiency, came to our clinic with a complaint of pain in the right lumbar region for the last 15 days. By imaging methods, a mass in the right kidney was detected. An ultrasound-guided percutaneous trucut biopsy was performed. The case was evaluated histopathologically as clear cell carcinoma. Because surgery was contraindivated due to her comorbidities, the patient was given ultrasound-guided percutaneous radiofrequency ablation. In the abdominal tomographies performed during the follow-up scar tissue was seen in the region associated with the lesion and no new lesion was detected. The follow-up is continuing. Clear cell carcinoma incidence appears to be on the increase, and thanks to incidental imaging discoveries the condition is caught in an asymptomatic and kidney-limited stage. Radiofrequency ablation or cryoablation must be considered an alternative in patients with a solitary kidney or with renal carcinoma should there be a contraindication for surgery.

Keywords: Renal, clear cell carcinoma , treatment