laser ablation therapy

  • 文章类型: Case Reports
    这项工作旨在报告具有挑战性的诊断,治疗,并对1例持续性胎儿血管(PFV)和视网膜母细胞瘤(RB)患者进行随访。
    一个22个月大的男孩,右眼出现单侧RB阶段VB,双眼出现PFV。患者接受了经瞳孔激光消融和全身化疗。
    治疗导致肿瘤完全消退。最后一次全身化疗两年后,磁共振成像(MRI)显示信号强度增加,进行性视神经增强,其中神经内恶性肿瘤不能排除。进行右眼的摘除。组织病理学检查显示,去核球中没有残留活动性恶性肿瘤。
    此病例证明了进行彻底的临床检查以建立正确的诊断并在任何手术前排除RB的重要性。该病例还强调了肿瘤消退后定期随访的重要性,并进行全面的眼科检查。B扫描,定期MRI。
    UNASSIGNED: This work aims to report the challenging diagnosis, treatment, and follow-up of a patient with persistent fetal vasculature (PFV) and retinoblastoma (RB).
    UNASSIGNED: A 22-month-old boy presented with unilateral RB stage VB in the right eye and PFV in both eyes. The patient was treated with transpupillary laser ablation and systemic chemotherapy.
    UNASSIGNED: Treatment resulted in complete tumor regression. Two years after the last systemic chemotherapy treatment, magnetic resonance imaging (MRI) showed increased signal intensity with progressive optic nerve enhancement, where intraneural malignancy could not be excluded. Enucleation of the right eye was performed. Histopathologic review showed no residual active malignancy in the enucleated globe.
    UNASSIGNED: This case demonstrates the importance of a thorough clinical examination to establish the correct diagnosis and to rule out RB before any surgery. This case also highlights the importance of regular follow-ups after tumor regression with full a ophthalmologic examination, B-scan, and periodic MRI.
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  • 文章类型: Case Reports
    上尿路上皮癌(UTUC)是一种相对罕见的疾病,占所有尿路上皮癌(UC)的5%至10%。带膀胱袖套的根治性肾输尿管切除术(RNU)是目前治疗UTUC的金标准;然而,内镜消融也是低风险UTUC保护肾功能的一种选择.在这里,我们介绍了2例孤立肾合并右下输尿管肿瘤的病例。两名患者过去都接受了左RNU。一名82岁的男子患有右输尿管肿瘤,其组织病理学检查显示为低度UC。输尿管镜下激光消融,治疗后7年无复发。一名67岁的女性患有右下输尿管肿瘤,其组织病理学检查也显示为低度UC。进行激光烧蚀,治疗后5年无复发。我们密切随访了RNU后的两名患者。这可以早期发现肿瘤复发,之后我们可以进行激光消融治疗。
    Upper tract urothelial carcinoma (UTUC) is a relatively rare disease that accounts for 5% to 10% of all urothelial carcinomas (UCs). Radical nephroureterectomy (RNU) with a bladder cuff is the current gold standard for the management of UTUC; however, endoscopic ablation is also an option for low-risk UTUC to preserve kidney function. Herein, we present two cases of solitary kidney with a right lower ureteral tumor. Both patients underwent left RNU in the past. An 82-year-old man with a right ureteral tumor whose histopathological examination revealed low-grade UC. Laser ablation was performed with ureteroscopy, and there was no recurrence for 7 years after treatment. A 67-year-old woman with a right lower ureteral tumor whose histopathological examination also revealed low-grade UC. Laser ablation was performed, and there was no recurrence for 5 years after the treatment. We closely followed-up our two patients after RNU. This allowed for early detection of tumor recurrence, after which we could perform laser ablation therapy.
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  • 文章类型: Journal Article
    Laser interstitial thermotherapy (LITT) is a relatively new focal therapy technique for the ablation of localized prostate cancer. In this study, for the first time, we are integrating ex vivo pathology and magnetic resonance imaging (MRI) to assess the imaging characteristics of prostate cancer and treatment changes following LITT. Via a unique clinical trial, which gave us the availability of ex vivo histology and pre- and post-LITT MRIs, (1) we investigated the imaging characteristics of treatment effects and residual disease, and (2) evaluated treatment-induced feature changes in the ablated area relative to the residual disease. First, a pathologist annotated the ablated area and the residual disease on the ex vivo histology. Subsequently, we transferred the annotations to the post-LITT MRI using a semi-automatic elastic registration. The pre- and post-LITT MRIs were registered and features were extracted. A scoring metric based on the change in median pre- and post-LITT feature values was introduced, which allowed us to identify the most treatment responsive features. Our results show that (1) image characteristics for treatment effects and residual disease are different, and (2) the change of feature values between pre- and post-LITT MRIs can be a quantitative biomarker for treatment response. Finally, using feature change improved discrimination between the residual disease and treatment effects.
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