NDLI: Les traitements ablatifs modifient-ils la prise en charge des tumeurs du rein chez la personne âgée?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Long, J-A Neuzillet, Y. Poissonnier, L. Lang, H. Paparel, P. Escudier, B. Rioux-Leclercq, N. Correas, J-M Mejean, A. Baumert, H. Soulié, M. Patard, J-J
Description	Country affiliation: France Author Affiliation: Long JA ( Service d'urologie, CHU de Grenoble, 38043 Grenoble cedex 9, France. jalong@chu-grenoble.fr)
Abstract	The development of ablative techniques in renal oncology has profoundly changed treatment of small renal tumors. The objective of this review of the literature was to assess the arguments for treating localized kidney tumors with these techniques in the elderly patient. The two techniques retained because of their recognized use, for all approaches, are radiofrequency and cryotherapy. The data in the literature report more frequent local recurrence with these techniques than with surgical excision and an advantage to cryotherapy over radiofrequency. There seems to be no difference in terms of metastatic progression. Morbidity is not insignificant, with major complications in slightly less than 10% of cases. Given the need to consider small tumors (<4 cm), the advantage in terms of life expectancy is challenged by series studying active monitoring of the oldest patients who present co-morbidities. At present, the indications should therefore be measured and based on a general assessment of the patient, with particular consideration of the existing co-morbidities so as not to treat a patient while imposing undue complications.
File Format	HTM / HTML
ISSN	11667087
Issue Number	Suppl 3
Volume Number	19
Journal	Progr`es en Urologie
Language	French
Publisher	Elsevier
Publisher Date	2009-11-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Kidney Neoplasms Discipline Urology Humans Middle Aged Catheter Ablation Review Radiotherapy Aged, 80 And Over English Abstract Journal Article Surgery Aged Cryotherapy Methods
Alternative Title	Do ablative treatments modify the management of kidney tumors in the elderly?
Content Type	Text
Resource Type	Article
Subject	Urology

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