CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney

Renal fusion anomalies are rare congenital malformations that comprise horseshoe kidney and crossed fused ectopia. Renal tumors arising from these fusion anomalies are anatomically complex, and surgical management can be technically challenging because of altered renal anatomy. Percutaneous CT-guide...

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Main Authors: Vellia Zhou, BS, Wenhui Zhou, MD, PhD, Sanna E. Herwald, MD, PhD, Ronald S. Arellano, MD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324012524
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author Vellia Zhou, BS
Wenhui Zhou, MD, PhD
Sanna E. Herwald, MD, PhD
Ronald S. Arellano, MD
author_facet Vellia Zhou, BS
Wenhui Zhou, MD, PhD
Sanna E. Herwald, MD, PhD
Ronald S. Arellano, MD
author_sort Vellia Zhou, BS
collection DOAJ
description Renal fusion anomalies are rare congenital malformations that comprise horseshoe kidney and crossed fused ectopia. Renal tumors arising from these fusion anomalies are anatomically complex, and surgical management can be technically challenging because of altered renal anatomy. Percutaneous CT-guided ablation can overcome some of these anatomical constraints, and microwave ablation has the additional benefit of shorter treatment time and reduced sensitivity to heat sink effects compared to other ablative modalities. The present report describes the successful use of microwave ablation to treat renal cell carcinoma arising in a horseshoe kidney with no local recurrence after 4.5 years, demonstrating the feasibility of MWA in managing RCC in anatomically complex locations.
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spelling doaj-art-4cf0b5da02ef4173a4f6c373533051742025-08-20T01:57:55ZengElsevierRadiology Case Reports1930-04332025-02-012021030103310.1016/j.radcr.2024.10.142CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidneyVellia Zhou, BS0Wenhui Zhou, MD, PhD1Sanna E. Herwald, MD, PhD2Ronald S. Arellano, MD3Tufts University School of Medicine, 145 Harrison Avenue, Boston, MA, 02111, USADepartment of Radiology, Stanford Medicine, 300 Pasteur Drive, H1330, Stanford, CA, 94305, USADepartment of Radiology, Stanford Medicine, 300 Pasteur Drive, H1330, Stanford, CA, 94305, USADepartment of Interventional Radiology, Massachusetts General Hospital, 55 Fruit Street, GRB 298, Boston, MA, 02114, USA; Corresponding author.Renal fusion anomalies are rare congenital malformations that comprise horseshoe kidney and crossed fused ectopia. Renal tumors arising from these fusion anomalies are anatomically complex, and surgical management can be technically challenging because of altered renal anatomy. Percutaneous CT-guided ablation can overcome some of these anatomical constraints, and microwave ablation has the additional benefit of shorter treatment time and reduced sensitivity to heat sink effects compared to other ablative modalities. The present report describes the successful use of microwave ablation to treat renal cell carcinoma arising in a horseshoe kidney with no local recurrence after 4.5 years, demonstrating the feasibility of MWA in managing RCC in anatomically complex locations.http://www.sciencedirect.com/science/article/pii/S1930043324012524Microwave ablationHorseshoe kidneyHydrodissection
spellingShingle Vellia Zhou, BS
Wenhui Zhou, MD, PhD
Sanna E. Herwald, MD, PhD
Ronald S. Arellano, MD
CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney
Radiology Case Reports
Microwave ablation
Horseshoe kidney
Hydrodissection
title CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney
title_full CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney
title_fullStr CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney
title_full_unstemmed CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney
title_short CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney
title_sort ct guided microwave ablation of renal cell carcinoma in a horseshoe kidney
topic Microwave ablation
Horseshoe kidney
Hydrodissection
url http://www.sciencedirect.com/science/article/pii/S1930043324012524
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