Tomeko
← Treatments & procedures
PROCEDURE — IMAGE-GUIDED TUMOR DESTRUCTION

Tumor ablation

Destroying a small tumor in place with heat, cold or other energy delivered through a needle-like probe — an option for tumors that are hard to remove surgically or in patients who can’t have surgery.
Treatments & procedures › Tumor ablation

What it is

Ablation destroys a tumor without removing it, usually through a thin probe guided into the tumor with imaging (ultrasound, CT). Radiofrequency and microwave ablation heat and kill the tissue; cryoablation freezes it; other approaches use ethanol injection or irreversible electroporation. It is minimally invasive and often done through the skin (percutaneous), sometimes during surgery. Ablation works best for small tumors and is widely used for liver, kidney and lung tumors, some bone metastases, and other sites — as a curative option for select small cancers or to control disease and relieve symptoms.

Why it's done

  • Small tumors in the liver, kidney or lung — especially when surgery is risky
  • Patients who are not surgical candidates due to other health problems
  • Painful bone metastases (palliative ablation)
  • To control a limited number of metastases, sometimes alongside other treatment

How it’s done

Usually by an interventional radiologist using image guidance, under sedation or anesthesia. A probe is placed into the tumor and energy is applied to destroy it, often as an outpatient or short-stay procedure through a tiny skin puncture.

Recovery

Recovery is typically quick compared with surgery — often home the same or next day, with some soreness at the site. Follow-up imaging checks that the tumor was fully treated; retreatment is possible if a margin remains.

Risks & considerations

  • Bleeding, infection, or injury to nearby structures
  • Incomplete ablation of larger tumors → local recurrence
  • Site-specific risks (e.g., pneumothorax with lung ablation)
  • Best suited to small tumors; not a treatment for widespread disease

Alternatives

Surgery
Removal of the tumor when feasible
Stereotactic radiation (SBRT)
Non-invasive high-dose radiation to a small target
Systemic therapy
For disease that has spread
Active surveillance
For very low-risk small tumors in select cases