Percutaneous Image-Guided Cryoablation of Head and Neck Tumors for Local Control, Preservation of Functional Status, and Pain Relief
Autor: | Thomas C. Lee, Kemal Tuncali, Nathan C. Himes, Jeffrey P. Guenette, Paul B. Shyn |
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Rok vydání: | 2017 |
Předmět: |
Male
Bradycardia medicine.medical_specialty Percutaneous medicine.medical_treatment Pain relief Cryosurgery Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Positron Emission Tomography Computed Tomography medicine Humans Minimally Invasive Surgical Procedures Radiology Nuclear Medicine and imaging Abscess Aged business.industry Head and neck tumors Cryoablation General Medicine Middle Aged Ablation medicine.disease Surgery Treatment Outcome Surgery Computer-Assisted Head and Neck Neoplasms 030220 oncology & carcinogenesis Female Radiology Neoplasm Recurrence Local medicine.symptom business |
Zdroj: | American Journal of Roentgenology. 208:453-458 |
ISSN: | 1546-3141 0361-803X |
DOI: | 10.2214/ajr.16.16446 |
Popis: | We report nine consecutive percutaneous image-guided cryoablation procedures of head and neck tumors in seven patients (four men and three women; mean age, 68 years; age range, 50-78 years). Ablation of the entire tumor for local control or ablation of a region of tumor for pain relief or preservation of function was achieved in eight of nine procedures. One patient experienced intraprocedural bradycardia, and another developed a neopharyngeal abscess. There were no deaths, permanent neurologic or functional deficits, vascular complications, or adverse cosmetic sequelae due to the procedures.Percutaneous image-guided cryoablation offers a potentially less morbid minimally invasive treatment option than salvage head and neck surgery. The complications that we encountered may be avoidable with increased experience. Further work is needed to continue improving the safety and efficacy of cryoablation of head and neck tumors and to continue expanding the use of cryoablation in patients with head and neck tumors that cannot be treated surgically. |
Databáze: | OpenAIRE |
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