Abstract:
Percutaneous image-guided locoregional therapies are emerging in the treatment of primary and metastatic breast cancer. Cryoablation has emerged as the dominant ablative approach as an alternative to surgery for primary breast cancer in patients who do not wish to have surgery or are poor surgical candidates. Cryoablation is well tolerated and provides excellent local control and cosmesis. Thermal ablation may also be used in the treatment of oligometastatic breast cancer, allowing patients to achieve long disease-free intervals. Transarterial therapies have been studied in the treatment of oligoprogressive hepatic metastasis, though further supportive data would be helpful to demonstrate its efficacy.
摘要:
经皮图像引导的局部治疗正在出现在原发性和转移性乳腺癌的治疗中。冷冻消融已成为主要的消融方法,可替代不希望接受手术或不良手术候选人的原发性乳腺癌患者的手术。冷冻消融具有良好的耐受性,并提供出色的局部控制和美容效果。热消融也可用于治疗寡转移乳腺癌,允许患者达到长时间的无病间隔。已经研究了经动脉疗法在治疗寡进行性肝转移中的应用,尽管进一步的支持性数据将有助于证明其疗效。