Management of Localized and Locally Advanced Disease: Difference between revisions
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* Rim enhancement, believed to represent reactive change, may occasionally be seen at early postprocedural MR scanning after RFA or cryoablation, which later resolves. | * Rim enhancement, believed to represent reactive change, may occasionally be seen at early postprocedural MR scanning after RFA or cryoablation, which later resolves. | ||
==== | ==== Recurrence following treatment ==== | ||
* '''Diagnosis of local recurrence after TA can be challenging''' because evolving fibrosis within the tumor bed can be difficult to differentiate from residual cancer. | * '''Diagnosis of local recurrence after TA can be challenging''' because evolving fibrosis within the tumor bed can be difficult to differentiate from residual cancer. | ||
* '''<span style="color:#ff0000">Findings suggestive of local recurrence (5):</span>''' | * '''<span style="color:#ff0000">Findings suggestive of local recurrence (5):</span>''' | ||
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** Some patients with progressive disease eventually require conventional surgery. | ** Some patients with progressive disease eventually require conventional surgery. | ||
*** PN and minimally invasive approaches are occasionally precluded in this setting because of the extensive fibrotic reaction induced by TA, necessitating RN. | *** PN and minimally invasive approaches are occasionally precluded in this setting because of the extensive fibrotic reaction induced by TA, necessitating RN. | ||
=== Partial nephrectomy (PN) === | === Partial nephrectomy (PN) === | ||