In the field of treatment for oncocytoma of the kidney, there is a wide range of therapeutic options; however, patients choosing Israel for medical care will find the best solution at the Ichilov clinic.
The medical center utilizes advanced diagnostic and treatment technologies, including robotic surgical systems and innovative minimally invasive techniques. A fundamental feature of the clinic's work is a team approach to each case. A multidisciplinary council of specialists develops an individual treatment strategy, taking into account all the specifics of the patient's condition.
Along with excellent medical service, the clinic provides exceptional accommodation conditions, ensuring maximum comfort and psychological support for patients at all stages of treatment.
About the Disease
Oncocytoma of the kidney is a benign neoplasm formed from renal tubular cells, characterized by slow growth and an extremely low risk of malignant transformation. The exact causes of this tumour's development are not fully established; however, modern studies indicate the role of genetic mutations in mitochondrial DNA and age-related changes in the structure of kidney tissue, which explains the more frequent detection of the disease in patients over 50 years old.
The insidiousness of oncocytoma lies in its prolonged asymptomatic course, as small formations up to 3-4 cm in size rarely cause clinical manifestations and are discovered incidentally during ultrasound or CT scans for other indications. As the size of the tumour increases, patients may experience dull aching pains in the lumbar region, which intensify with physical activity and may radiate to the flank. When the oncocytoma reaches significant sizes, a palpable mass in the abdomen may appear, along with a feeling of heaviness and discomfort, especially when lying on the side, which significantly reduces the quality of the patient's daily life.
Treatment Methods for Oncocytoma of the Kidney
When choosing a treatment method for oncocytoma of the kidney, doctors consider the size of the formation, its location, the overall condition of the patient, and the functional reserves of the kidneys. In some cases, a combined approach is used, combining several methods to achieve optimal results.
Active Surveillance
This approach is used for small oncocytomas up to 4 cm in size in patients with high surgical risk or elderly patients. The use of modern imaging methods, including multiparametric MRI and contrast CT with thin slices, allows for precise monitoring of the growth dynamics of the formation. Regular biopsy under ultrasound control allows for the assessment of histological changes in the tumour. This method preserves kidney function with minimal risk of disease progression.
Kidney Resection
Organ-preserving surgery is performed for oncocytomas up to 7 cm in size located at the poles or the anterior surface of the kidney. The use of high-resolution intraoperative ultrasound and fluorescent navigation with indocyanine green ensures accurate visualization of the tumour's boundaries. The use of argon plasma coagulation and hemostatic agents minimizes blood loss. This technology allows for complete removal of the neoplasm while preserving the maximum volume of healthy kidney tissue.
Nephrectomy
Radical removal of the kidney is applied for large oncocytomas over 7 cm or multiple formations when organ-preserving surgery is technically impossible. Laparoscopic access using 4K visualization and LigaSure energy systems ensures minimal trauma to surrounding tissues. The use of the da Vinci robotic system allows for precise manipulations in a confined space. This method guarantees complete cure and prevents the risk of disease recurrence.
Cryoablation
This technique is used for oncocytomas up to 5 cm in size in patients with contraindications to surgical treatment. The use of real-time MRI navigation allows for precise positioning of cryoprobes and monitoring of ice ball formation. The use of multiple cryoprobes with a diameter of 1.5 mm ensures uniform freezing of the entire volume of the tumour to a temperature of -40°C. This technology achieves complete destruction of pathological cells while preserving surrounding healthy kidney tissue.
Radiofrequency Ablation
This method is used for treating oncocytomas up to 4 cm in diameter, especially with exophytic growth or located at the lower pole of the kidney. The use of multipolar electrodes with temperature feedback ensures controlled heating of tissues to 60-100°C. The use of perfusion electrodes allows for the creation of ablation zones of complex shapes that correspond to the contours of the formation. This technology ensures complete destruction of tumour cells and achieves long-term remission of the disease.
- Nephrectomy
- Cryoablation
Diagnostic Methods for the Disease
All diagnostic procedures at the Ichilov medical center for treating oncocytoma of the kidney are planned in advance and conducted within an average of three days. This allows for a quick comprehensive understanding of the disease, optimizes the patient's time, and enables immediate development of an individual treatment plan.
First Day
Upon arrival at the clinic, the patient meets with the treating urologist or oncologist. The doctor carefully collects the medical history, clarifies complaints, reviews the medical documentation brought by the patient, and conducts a detailed physical examination. Based on the information obtained, the specialist provides personal recommendations for a series of studies that will help gather comprehensive information about the patient's condition and the characteristics of the tumour process.
Second Day
A comprehensive examination is conducted, including modern diagnostic methods:
- Expanded blood tests
- Biochemical blood analysis with tumor markers
- Urine tests
- Coagulogram
- CT of the abdominal organs with contrast
- MRI of the kidneys
- Ultrasound of the abdominal organs
- Kidney scintigraphy
- Angiography of the renal arteries
- Tumour biopsy under ultrasound control
- Chest X-ray
- ECG
- Echo cardiography
- Consultation with an anesthesiologist
Third Day
At the final stage of diagnosis, an individual therapeutic plan is developed. A multidisciplinary team of specialists participates in its development: urologist-oncologist, radiologist, pathomorphologist, anesthesiologist, and, if necessary, other narrow specialists. The doctors collectively analyze the results of all studies, discuss various treatment options, and choose the optimal tactics considering the stage of the disease, the overall condition of the patient, and their individual characteristics. The multidisciplinary approach ensures the patient receives the most accurate diagnosis, reduces the risks of complications, and guarantees an optimal prognosis.
- Biopsy
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- X-ray
- Ultrasound
- Heart diagnostics in Israel
- Blood biochemistry
How Much Does Treatment Cost in Israel
The cost of treating oncocytoma of the kidney at the Ichilov medical center is calculated individually for each patient and depends on many factors, including the stage of the disease, the size and location of the tumour, the chosen method of surgical intervention, the volume of necessary diagnostic procedures, the duration of hospitalization, and the rehabilitation period.
To obtain an accurate calculation of the cost of treating oncocytoma of the kidney in your specific case, it is necessary to contact a medical consultant at the phone number provided on the clinic's website. An experienced consultant will provide a detailed estimate of all medical services, discuss possible payment and financing options for treatment, assist with travel arrangements if necessary, and answer all questions regarding the treatment procedure and stay at the clinic.
Advantages of Treatment in Israel
- High-precision diagnostics using modern expert-class equipment
- Organ-preserving surgical techniques with minimal tissue trauma
- Multidisciplinary approach by a team of leading specialists
- Individual treatment protocols considering the specifics of each case
- First-class support services, including personal assistance
Even before arriving at the Israeli clinic, the patient can order an online consultation with the required specialist to obtain an expert opinion on their case. As a result of such a consultation, the patient will receive professional recommendations on treatment tactics, answers to all pressing questions, and confidence in the correctness of the chosen therapy direction.