Localized RCC Nephron Sparing Surgery and alternative treatments文档.pptVIP

MINSS High-intensity focused ultrasound (HIFU) * HIFU Potentially the least invasive tumor ablation technique (Extracorporeal). Employs beams of ablative US frequency,generated by piezoelectric element,focused by a paraboloid reflector. This beam is focused on the lesion, like ESWL, US lithotripsy. Resulting in thermal destruction - tissue cooking (temp. raise by 70-80 °C in the target lesion). Initially used for BPH,and Pca. Lots of concerns in regard to incomplete tumor ablation, and superficial skin burns. * HIFU Several studies report the use of HIFU to treat benign and malignant kidney tu