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Percutaneous Transthoracic Radiofrequency Ablation of Renal Tumors Using an Iatrogenic Pneumothorax

Kamran Ahrar1, Surena Matin2, Michael J. Wallace1, Sanjay Gupta1 and Marshall E. Hicks1

1 Interventional Radiology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 325, Houston, TX 77030.
2 Urology, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030.



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  		Fig. 1A —83-year-old man with renal cell carcinoma of right kidney. Axial, contrast-enhanced CT image of abdomen in supine position shows 3.4-cm solid enhancing mass in upper pole of right kidney.

 


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  		Fig. 1B —83-year-old man with renal cell carcinoma of right kidney. Axial CT image of abdomen in prone position shows transthoracic course of radiofrequency electrode.

 


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  		Fig. 1C —83-year-old man with renal cell carcinoma of right kidney. Same image as B with lung window confirms that electrode is not traversing lung parenchyma.

 


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  		Fig. 1D —83-year-old man with renal cell carcinoma of right kidney. Axial CT fluoroscopy image of abdomen shows 8.5-French pigtail pneumothorax evacuation tube in base of right pleural cavity.

 

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