Image-guided tumor ablation showed similar progression risk to surgical resection for T1a renal cell carcinoma in a Danish registry study.
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Ablation was associated with shorter hospital stays, with a median stay of 0 days compared to 2 days for resection and nephrectomy.
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Local recurrence rates were 2% for ablation and 1% for resection, while distant metastasis rates were similar at approximately 2% for both.
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Patients undergoing ablation were older and had more comorbidities compared to those undergoing resection, with median ages of 67 and 62 years, respectively.
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Despite higher local recurrence in the ablation group, overall progression rates remained low, indicating both ablation and resection are effective for T1a RCC.