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- Title
A krioabláció mechanizmusa, helye és szerepe az emlőelváltozások terápiájában.
- Authors
Zsófia, TIBA Nóra; Attila, DOROS; László, KOSTYÁL
- Abstract
Nowadays the treatment of breast cancer has become a multidisciplinary task, preferring the most specific therapy from the point of view of sytemic treatment, the most targeted and if possible, the lowest dose irradiation procedure from the aspect of radiation therapy. Breast surgery advocates breast-conserving operations instead of mastectomy and the interventional radiology the use of minimally invasive ablation techniques. Minimally invasive ablation techniques have been developed with the goal of achieving outcomes similar to those of breast conservation therapy, but with less agressive locoregional treatment, decreased morbidity, less pain, shorter hospital stay and improved aesthetical results, for patients who are not surgical candidates because of medical contraindications -- i.e.cardiorespiratory status or inoperability -- or for those who are not willing to give their consent to surgery. These techniques include radiofrequency ablation (RFA), laser-induced thermotherapy (LTT), microwave ablation (MWA), high frequency ultrasound ablation (HIFU), irreversible electroporation and cryoablation. Among these techniques cryoablation stands out due to several reasons. Cryoablation is painless because of the natural pain relieving effect of cold. It can be applied using either local anesthesia or peripherial nerve block, can be carried out on outpatient basis, can also be easily performed by ultrasound guidance etc. Cryoablation is a proven effective method in the treatment of fibroadenomas and can be a real alternative to surgical excision. Cryoablation seems to be a promising procedure in relation to malignant breast tumors, however many further clinical studies are still needed to prove that cryoablation is equivalent to the gold-standard surgical treatment.
- Publication
Magyar Radiologia Online, 2023, Vol 14, Issue 2, p1
- ISSN
0025-0287
- Publication type
Article