Combination of endoscopic ultrasound-guided radiofrequency ablation and adaptive radiation therapy for the treatment of lymph node metastases from colon adenocarcinoma: A case report

被引：0
作者：
de Andreis, Federica Borrelli [1 ,6 ]
Calegari, Maria Alessandra [2 ]
Romano, Angela [3 ]
Brizi, Maria Gabriella [4 ]
Sofo, Luigi [5 ]
Boskoski, Ivo [6 ]
Costamagna, Guido [6 ]
Attili, Fabia [6 ]
机构：
[1] Univ Pavia, Fdn Policlin San Matteo IRCCS, Dept Internal Med, Viale Camillo Golgi, 9, I-27100 Pavia, Italy
[2] Fdn Policlin Univ Agostino Gemelli, Comprehens Canc Ctr, Med Oncol, IRCCS, Largo Agostino Gemelli, 8, Rome, Italy
[3] Fdn Policlin Univ Agostino Gemelli, Dept Bioimaging Radiat Oncol & Hematol, IRCCS, Largo Agostino Gemelli 8, Rome, Italy
[4] Fdn Policlin Univ Agostino Gemelli, Dept Radiol, IRCCS, Largo Agostino Gemelli S, Rome, Italy
[5] Fdn Policlin Univ Agostino Gemelli, Dept Abdominal Surg, IRCCS, Largo Agostino Gemelli 8, Rome, Italy
[6] Fdn Policlin Univ Agostino Gemelli IRCCS, Digest Endoscopy Unit, Largo Agostino Gemelli 8, Rome, Italy
来源：
CURRENT PROBLEMS IN CANCER: CASE REPORTS | 2023年 / 9卷
关键词：
Endoscopic ultrasonography; Radiofrequency catheter ablation stereotactic; body radiotherapy; Colorectal neoplasm; Case report; OLIGOMETASTATIC DISEASE; EUROPEAN ORGANIZATION; CANCER; CRITERIA;
D O I：
10.1016/j.cpccr.2023.100216
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Oligometastatic colorectal cancer (CRC) is a clinically relevant entity, and surgery is the gold standard thera-peutic option. Current guidelines recommend evaluating other local ablative treatments (LATs) in patients not eligible for surgery. Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) and stereotactic body radiation therapy (SBRT) are emerging as highly beneficial less-invasive LATs in alternative to surgery. In our paper, we report the first case in literature of lymph node metastases from CRC treated sequentially with EUS-RFA and SBRT, providing evidence of their efficacy and safety. LATs combined with systemic chemotherapy might be included in a multimodal therapeutic approach to oligometastatic disease.
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页数：4
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