N.I.C.E. Percutaneous radiofrequency ablation of renal cancer
Contents |
Overview
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous radiofrequency Ablation of renal cancer.
Description
There are few symptoms in the early stages of renal cancer. Typically symptoms develop as the disease progresses. The first symptom is often blood in the urine; pain and flank mass are the other classic symptoms.
The standard treatment for renal cancer is total or partial nephrectomy. However, with the improvement of medical imaging techniques, which have increased the detection of small incidental renal tumours, less invasive procedures have emerged. These include laparoscopic partial nephrectomy, cryoablation, high-intensity ultrasound and radiofrequency ablation.
Percutaneous radiofrequency Ablation may be particularly indicated in patients with small renal tumours (for example less than 4cm diameter), in whom surgery may not be well tolerated, or in patients who refuse surgery.
CT scanning or ultrasound is used for image guidance, and the tumour is destroyed by heating to temperatures exceeding 60°C. In RFA, temperature changes are induced using high-frequency alternating current applied via an electrode or electrodes placed within the tissue to generate ionic agitation.
Arrangements
Other (see guidance)
Topic Area
Cancer Urogenital
Specialty
Clinical oncology
Medical oncology
Specialist advice has been sought from
Date notified to NICE' 03 June 2003
Guidance Publication Date 22 September 2004
Contact Detail
Project Manager
(for general enquiries or comments) Ben Doak
Technical Lead (for procedure specific enquiries or comments) Sally Wortley
ip@nice.org.uk
Contact Address
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
Documents
References
- To view the original N.I.C.E. page Click Here
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