Percutaneous Cryoablation for the Treatment of Recurrent Thymoma: Preliminary Safety and Efficacy

被引:17
作者
Abtin, Fereidoun [1 ]
Suh, Robert D. [1 ]
Nasehi, Leyla [1 ]
Han, Simon X. [1 ]
Hsu, William [1 ]
Quirk, Mathew [1 ]
Genshaft, Scott
Gutierrez, Antony J.
Cameron, Robert B. [2 ]
机构
[1] Univ Calif Los Angeles, Ronald Reagan Hosp, Dept Radiol Sci, Los Angeles, CA 90095 USA
[2] Ronald Reagan UCLA Med Ctr, Div Thorac Surg, Los Angeles, CA USA
关键词
HISTOLOGIC CLASSIFICATION-SYSTEM; PLEURAL RECURRENCE; SURGICAL-TREATMENT; TUMORS; CRYOTHERAPY; EXPERIENCE; RESECTION; FEATURES;
D O I
10.1016/j.jvir.2014.12.024
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Thymoma is the most common primary tumor of the anterior mediastinum and often recurs after initial surgical resection. In this case series, percutaneous cryoablation, a locally ablative technique; was used to treat 25 mediastinal and pleural recurrent thymoma lesions in five patients. Safety and short-term efficacy data wore collected. In 23 percutaneous cryoablations (92%), there were no or minimal complications. One serious complication, myasthenia gravis flare, occurred. Over the duration of follow-up (median, 331 d), 18 of 20 ablated lesions (90%) showed no evidence of local recurrence. Percutaneous cryoablation shows promise as a safe and effective treatment modality for recurrent thymoma.
引用
收藏
页码:709 / 714
页数:6
相关论文
共 15 条
[1]   Radiofrequency Ablation of Lung Tumors: Imaging Features of the Post-ablation Zone [J].
Abtin, Fereidoun G. ;
Eradat, Jilbert ;
Gutierrez, Antonio J. ;
Lee, Christopher ;
Fishbein, Michael C. ;
Suh, Robert D. .
RADIOGRAPHICS, 2012, 32 (04) :947-+
[2]   Image-guided Cryoablation for Metastatic Diaphragmatic Thymoma [J].
Chen, Chun-Ku ;
Chou, Teh-Ying ;
Chen, Chia-Bang ;
Hsu, Wen-Hu .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2012, 23 (08) :1097-1099
[3]   Optimizing the Protocol for Pulmonary Cryoablation: A Comparison of a Dual- and Triple-Freeze Protocol [J].
Hinshaw, J. Louis ;
Littrup, Peter J. ;
Durick, Nathan ;
Leung, Winnie ;
Lee, Fred T., Jr. ;
Sampson, Lisa ;
Brace, Christopher L. .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2010, 33 (06) :1180-1185
[4]   Myasthenia gravis appearing after thymectomy for thymoma [J].
Kondo, K ;
Monden, Y .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2005, 28 (01) :22-25
[5]   Surgical treatment of pleural recurrence from thymoma [J].
Lucchi, Marco ;
Basojo, Fulvio ;
Mussi, Alfredo .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2008, 33 (04) :707-711
[6]   Management of pleural recurrence after curative resection of thymoma [J].
Lucchi, Marco ;
Davini, Federico ;
Ricciardi, Roberta ;
Duranti, Leonardo ;
Boldrini, Laura ;
Palmiero, Gerardo ;
Basolo, Fulvio ;
Mussi, Alfredo .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (05) :1185-1189
[7]   RECURRENCE OF THYMOMA - CLINICOPATHOLOGICAL FEATURES, THERAPY, AND PROGNOSIS [J].
MONDEN, Y ;
NAKAHARA, K ;
IIOKA, S ;
NANJO, S ;
OHNO, K ;
FUJII, Y ;
HASHIMOTO, J ;
KITAGAWA, Y ;
MASAOKA, A ;
KAWASHIMA, Y .
ANNALS OF THORACIC SURGERY, 1985, 39 (02) :165-169
[8]   The World Health Organization histologic classification system reflects the oncologic behavior of thymoma - A clinical study of 273 patients [J].
Okumura, M ;
Ohta, M ;
Tateyama, H ;
Nakagawa, K ;
Matsumura, A ;
Maeda, H ;
Tada, H ;
Eimoto, T ;
Matsuda, H ;
Masaoka, A .
CANCER, 2002, 94 (03) :624-632
[9]   Clinical and functional significance of WHO classification on human thymic epithelial neoplasms - A study of 146 consecutive tumors [J].
Okumura, M ;
Miyoshi, S ;
Fujii, Y ;
Takeuchi, Y ;
Shiono, H ;
Inoue, M ;
Fukuhara, K ;
Kadota, Y ;
Tateyama, H ;
Eimoto, T ;
Matsuda, H .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2001, 25 (01) :103-110
[10]   Outcome of surgical treatment for recurrent thymic epithelial tumors with reference to World Health Organization histologic classification system [J].
Okumura, Meinoshin ;
Shiono, Hiroyuki ;
Inoue, Masayoshi ;
Tanaka, Hisaichi ;
Yoon, Hyun-Eng ;
Nakagawa, Katsuhiro ;
Matsumura, Akihide ;
Ohta, Mitsunori ;
Iuchi, Keiji ;
Matsuda, Hikaru .
JOURNAL OF SURGICAL ONCOLOGY, 2007, 95 (01) :40-44