title: [Indications for ablative treatment in kidney cancer in the elderly].
abstract: BACKGROUND
  Approximately, 30% of kidney cancers are diagnosed in patients over 75 years, mostly by fortuitously. This review had identified the indications of ablative treatment among others options for kidney cancer in these elderly patients.
  
  
  METHODS
  A bibliographic research in French and English using Medline(®) with the keywords "tumor"; "kidney"; "radio frequency" and "cryoablation" was performed.
  
  
  RESULTS
  The expected benefits were less morbidity, reduced hospital stay and preservation of renal function. Ablative techniques have allowed a satisfactory cancer control but lower than that obtained by surgical excision at the cost of a lower morbidity. Cryoablation has allowed better oncological results than the radiofrequency. A decision tree for management of small renal tumors in patients defining a role for these treatments depending on the patient's life expectancy, its comorbidities (Charlson index) and tumor size was proposed.
  
  
  CONCLUSIONS
  The preferential indications for cryoablation and radiofrequency treatments in elderly patients are tumors under 3cm and less than 4cm respectively, when life expectancy is between 3 and 7 years.
authors.affiliation: Service d'urologie, CHU Saint Louis, Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Froger
authors.forename: Y
authors.initials: Y
authors.lastname: Neuzillet
authors.forename: T
authors.initials: T
authors.lastname: Lebret
mesh_terms: D055011:Ablation Techniques / Q000379:methods; D000368:Aged; D000465:Algorithms; D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods; D003452:Cryosurgery / Q000379:methods; D018572:Disease-Free Survival; D019317:Evidence-Based Medicine; D006801:Humans; D033162:Incidental Findings; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome