Successful treatment kidney cancer in solitary right kidney

Patient with a history of renal cell carcinoma in the left kidney S/P nephrectomy (removal of the kidney). CT done in September 2009 now shows a new tumor in his remaining right kidney.

 Radiofrequency ablation was offered as an alternative and performed on the tumor that same month. CT shows the needle piercing the tumor.

 Post ablation CT now shows diffuse hypodensity of the nodule.

 Follow up CT in April 2012 (2 and a half years later) shows no evidence of active tumor. Kidney function is still intact. Patient is still doing well and scheduled for follow-up in a year.

Successful treatment lung metastases from breast cancer with RF Ablation

Patient with stage 4 breast cancer underwent chemotherapy for multiple lung nodules which were considered metastatic lesions from her breast cancer. CT done in August 2007 showed a persistent nodule in the right lung which continued to grow despite chemotherapy. Nodule was biopsied and confirmed to be from the original breast cancer and not a separate new primary malignancy.

Radiofrequency ablation shows needle in the nodule.

 

Chest xray taken in July 2012 ( 5 years later ) shows no evidence of recurrence.

Close up view of chest xray in the right lower lobe

RF Ablation Lung, Adrenal, Kidney, Bone

Aside from RF ablation ( Radiofrequency ablation ) of the liver, we have performed successfully RF ablation of lesions in the adrenal gland, bone, lung (primary and metastatic disease) and kidneys. The adrenal mass was a metastatic lesion from a primary lung malignancy. The main indication for RF ablation of metastatic bone disease is for control of pain. Some of our lung cases and kidneys are surgically resectable. However, the patients opted for RF ablation due to co-morbidities or refused to undergo surgery.

Contact numbers

Those who wish to inquire about our services and procedures can set an appointment with my secretary Cathy at 0927-9915151 or RK 0908-8821953. If you want to call Makati Medical Center directly, then dial 8888-999 local 7134 or 6661-424. For outpatients from Asian Hospital, Medical City, and Cardinal Santos Medical Center, you can text my secretary and set an appointment to see me in Makati Med. If a procedure needs to be done, we can perform the procedure in those hospitals mentioned, depending on the availability of equipment.

Smallest nodule biopsied so far

Up to now, the smallest nodule I've ever biopsied under CT guidance was 8 mm. More recently, I've had to do a 6 mm and a 5 mm nodule. The first image shows one of the nodules in the medial segment of the right middle lobe. The second images shows the g.22 needle tip in the nodule. The CT image at the level of the pelvis shows the primary lesion which is a giant cell tumor involving the right iliac crest. Biopsy showed giant cells in the biopsy specimen.

Welcome

Hi. Welcome to my website where I hope to introduce and discuss various procedures that are already available in the Philippines and those which we hope to introduce. I am currently the Chairman of the Department of Radiology and Section Chief of Interventional Radiology in Makati Medical Center. I also do procedures in Asian Hospital, Medical City, and Cardinal Santos Medical Center.

I did my Clinical Fellowships in Cardiovascular and Interventional Radiology at the Brigham and Women's Hospital / Children's Hospital of Harvard Medical School. I also did a Vascular and Interventional Radiology ( Interventional Oncology ) at MD Anderson Cancer Center. I also did an MRI fellowship and repeated my residency at the University Hospital at Stony Brook in Long Island, NY. I first did my Radiology residency at UP-PGH before all this.

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Ramon Santos-Ocampo, MD