Skip to main content
SpringerLink
Log in

Breast Ablation: Breast Carcinoma, Fibroadenomas

  • Chapter
  • First Online:
Interventional Radiology Techniques in Ablation

Part of the book series: Techniques in Interventional Radiology ((TECHRAD))

Abstract

Standard management of breast cancer depends on the tumor type, biologic receptor status, and extent of disease (TNM staging). Detailed accepted treatment algorithms are available from the National Comprehensive Cancer Network [http://www.nccn.org] and are summarized here:

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Daniel BL, Butts K, Glover GH, Cooper C, Herfkens RJ. Breast cancer: gadolinium-enhanced MR imaging with a 0.5-T open imager and three-point Dixon technique. Radiology. 1998;207(1):183–90.

    PubMed  CAS  Google Scholar 

  2. Kuhl CK, Elevelt A, Leutner CC, Gieseke J, Pakos E, Schild HH. Interventional breast MR imaging: clinical use of a stereotactic localization and biopsy device. Radiology. 1997;204(3):667–75.

    PubMed  CAS  Google Scholar 

  3. Daniel BL. Intraprocedural magnetic resonance imaging-guided interventions in the breast. Top Magn Reson Imaging. 2000;11(3):184–90.

    Article  PubMed  CAS  Google Scholar 

  4. Izzo F, Thomas R, Delrio P, Rinaldo M, Vallone P, DeChiara A, et al. Radiofrequency ablation in patients with primary breast carcinoma: a pilot study in 26 patients. Cancer. 2001;92(8):2036–44.

    Article  PubMed  CAS  Google Scholar 

  5. Burak WE, Agnese DM, Povoski SP, Yanssens TL, Bloom KJ, Wakely PE, et al. Radiofrequency ablation of invasive breast carcinoma followed by delayed surgical excision. Cancer. 2003;98(7):1369–76.

    Article  PubMed  Google Scholar 

  6. Cooper SM, Dawber RP. The history of cryosurgery. J R Soc Med. 2001;94(4):196–201.

    PubMed  CAS  Google Scholar 

  7. Ablin RJ. The use of cryosurgery for breast cancer. Arch Surg. 1998;133(1):106.

    Article  PubMed  CAS  Google Scholar 

  8. Rand RW, Rand RP, Eggerding FA, Field M, Denbesten L, King W, et al. Cryolumpectomy for breast cancer: an experimental study. Cryobiology. 1985;22(4):307–18.

    Article  PubMed  CAS  Google Scholar 

  9. Staren ED, Sabel MS, Gianakakis LM, Wiener GA, Hart VM, Gorski M, et al. Cryosurgery of breast cancer. Arch Surg. 1997;132(1):28–33; discussion 34.

    Article  PubMed  CAS  Google Scholar 

  10. Morin J, Traoré A, Dionne G, Dumont M, Fouquette B, Dufour M, et al. Magnetic resonance-guided percutaneous cryosurgery of breast carcinoma: technique and early clinical results. Can J Surg. 2004;47(5):347–51.

    PubMed  Google Scholar 

  11. Littrup PJ, Jallad B, Chandiwala-Mody P, D’Agostini M, Adam BA, Bouwman D. Cryotherapy for breast cancer: a feasibility study without excision. J Vasc Interv Radiol. 2009;20(10):1329–41.

    Article  PubMed  Google Scholar 

  12. Littrup PJ, Freeman-Gibb L, Andea A, White M, Amerikia KC, Bouwman D, et al. Cryotherapy for breast fibroadenomas. Radiology. 2005;234(1):63–72.

    Article  PubMed  Google Scholar 

  13. Pusztaszeri M, Vlastos G, Kinkel K, Pelte M-F. Histopathological study of breast cancer and normal breast tissue after magnetic resonance-guided cryotherapy ablation. Cryobiology. 2007;55(1):44–51.

    Article  PubMed  Google Scholar 

  14. Zhao Z, Wu F. Minimally-invasive thermal ablation of early-stage breast cancer: a systemic review. Eur J Surg Oncol. 2010;36(12):1149–55.

    Article  PubMed  CAS  Google Scholar 

  15. Roubidoux MA, Sabel MS, Bailey JE, Kleer CG, Klein KA, Helvie MA. Small (<2.0 cm) breast cancers: mammographic and US findings at US-guided cryoablation - initial experience. Radiology. 2004;233(3):857–67.

    Article  PubMed  Google Scholar 

  16. Sabel MS, Kaufman CS, Whitworth P, Chang H, Stocks LH, Simmons R, et al. Cryoablation of early-stage breast cancer: work-in-progress report of a multi-institutional trial. Ann Surg Oncol. 2004;11(5):542–9.

    Article  PubMed  Google Scholar 

  17. Manenti G, Perretta T, Gaspari E, Pistolese CA, Scarano L, Cossu E, et al. Percutaneous local ablation of unifocal subclinical breast cancer: clinical experience and preliminary results of cryotherapy. Eur Radiol. 2011;21(11):2344–53.

    Article  PubMed  Google Scholar 

  18. Nurko J, Mabry CD, Whitworth P, Jarowenko D, Oetting L, Potruch T, et al. Interim results from the FibroAdenoma Cryoablation Treatment Registry. Am J Surg. 2005;190(4):647–51; discussion 651–2.

    Article  PubMed  Google Scholar 

  19. Tafra L, Fine R, Whitworth P, Berry M, Woods J, Ekbom G, et al. Prospective randomized study comparing cryo-assisted and needle-wire localization of ultrasound-visible breast tumors. Am J Surg. 2006;192(4):462–70.

    Article  PubMed  Google Scholar 

  20. Jeffrey SS, Birdwell RL, Ikeda DM, Daniel BL, Nowels KW, Dirbas FM, et al. Radiofrequency ablation of breast cancer: first report of an emerging technology. Arch Surg. 1999;134(10):1064–8.

    Article  PubMed  CAS  Google Scholar 

  21. Earashi M, Noguchi M, Motoyoshi A, Fujii H. Radiofrequency ablation therapy for small breast cancer followed by immediate surgical resection or delayed mammotome excision. Breast Cancer. 2007;14(1):39–47.

    Article  PubMed  Google Scholar 

  22. Fornage BD, Sneige N, Ross MI, Mirza AN, Kuerer HM, Edeiken BS, et al. Small (<2-cm) breast cancer treated with US-guided radiofrequency ablation: feasibility study. Radiology. 2004;231(1):215–24.

    Article  PubMed  Google Scholar 

  23. Hayashi AH, Silver SF, van der Westhuizen NG, Donald JC, Parker C, Fraser S, et al. Treatment of invasive breast carcinoma with ultrasound-guided radiofrequency ablation. Am J Surg. 2003;185(5):429–35.

    Article  PubMed  Google Scholar 

  24. Imoto S, Wada N, Sakemura N, Hasebe T, Murata Y. Feasibility study on radiofrequency ablation followed by partial mastectomy for stage I breast cancer patients. Breast. 2009;18(2):130–4.

    Article  PubMed  Google Scholar 

  25. Manenti G, Bolacchi F, Perretta T, Cossu E, Pistolese CA, Buonomo OC, et al. Small breast cancers: in vivo percutaneous US-guided radiofrequency ablation with dedicated cool-tip radiofrequency system. Radiology. 2009;251(2):339–46.

    Article  PubMed  Google Scholar 

  26. Medina-Franco H, Soto-Germes S, Ulloa-Gómez JL, Romero-Trejo C, Uribe N, Ramirez-Alvarado CA, et al. Radiofrequency ablation of invasive breast carcinomas: a phase II trial. Ann Surg Oncol. 2008;15(6):1689–95.

    Article  PubMed  Google Scholar 

  27. Oura S, Tamaki T, Hirai I, Yoshimasu T, Ohta F, Nakamura R, et al. Radiofrequency ablation therapy in patients with breast cancers two centimeters or less in size. Breast Cancer. 2007;14(1):48–54.

    Article  PubMed  Google Scholar 

  28. Yamamoto N, Fujimoto H, Nakamura R, Arai M, Yoshii A, Kaji S, et al. Pilot study of radiofrequency ablation therapy without surgical excision for T1 breast cancer: evaluation with MRI and vacuum-assisted core needle biopsy and safety management. Breast Cancer. 2011;18(1):3–9.

    Article  PubMed  Google Scholar 

  29. Kinoshita T, Iwamoto E, Tsuda H, Seki K. Radiofrequency ablation as local therapy for early breast carcinomas. Breast Cancer. 2010;18(1):10–7.

    Article  PubMed  Google Scholar 

  30. Fujimoto S, Kobayashi K, Takahashi M, Nemoto K, Yamamoto I, Mutou T, et al. Clinical pilot studies on pre-operative hyperthermic tumour ablation for advanced breast carcinoma using an 8 MHz radiofrequency heating device. Int J Hyperthermia. 2003;19(1):13–22.

    Article  PubMed  CAS  Google Scholar 

  31. Marcy P-Y, Magné N, Castadot P, Bailet C, Namer M. Ultrasound-guided percutaneous radiofrequency ablation in elderly breast cancer patients: preliminary institutional experience. Br J Radiol. 2006;80(952):267–73.

    Article  PubMed  Google Scholar 

  32. Susini T, Nori J, Olivieri S, Livi L, Bianchi S, Mangialavori G, et al. Radiofrequency ablation for minimally invasive treatment of breast carcinoma. A pilot study in elderly inoperable patients. Gynecol Oncol. 2007;104(2):304–10.

    Article  PubMed  Google Scholar 

  33. Teh HS, Tan S-M. Radiofrequency ablation – a new approach to percutaneous eradication of benign breast lumps. Breast J. 2010;16(3):334–6.

    Article  PubMed  Google Scholar 

  34. Dooley WC, Vargas HI, Fenn AJ, Tomaselli MB, Harness JK. Focused microwave thermotherapy for preoperative treatment of invasive breast cancer: a review of clinical studies. Ann Surg Oncol. 2010;17(4):1076–93.

    Article  PubMed  Google Scholar 

  35. Gardner RA, Vargas HI, Block JB, Vogel CL, Fenn AJ, Kuehl GV, et al. Focused microwave phased array thermotherapy for primary breast cancer. Ann Surg Oncol. 2002;9(4):326–32.

    Article  PubMed  Google Scholar 

  36. Campbell AM, Land DV. Dielectric properties of female human breast tissue measured in vitro at 3.2 GHz. Phys Med Biol. 1992;37(1):193–210.

    Article  PubMed  CAS  Google Scholar 

  37. Vargas HI, Dooley WC, Gardner RA, Gonzalez KD, Venegas R, Heywang-Kobrunner SH, et al. Focused microwave phased array thermotherapy for ablation of early-stage breast cancer: results of thermal dose escalation. Ann Surg Oncol. 2004;11(2):139–46.

    Google Scholar 

  38. Vargas HI, Dooley WC, Fenn AJ, Tomaselli MB, Harness JK. Study of preoperative focused microwave phased array thermotherapy in combination with neoadjuvant anthracycline-based chemotherapy for large breast carcinomas. Cancer Therapy. 2007;5(2):401–8.

    Article  PubMed  Google Scholar 

  39. Dooley WC, Vargas HI, Fenn AJ, Tomaselli MB, Harness JK. Randomized study of preoperative focused microwave phased array thermotherapy for early-stage invasive breast cancer. Cancer Therapy. 2008;6(2):395–408.

    Google Scholar 

  40. Vargas HI, Dooley WC, Gardner RA, Gonzalez KD, Heywang-Kobrunner SH, Fenn AJ. Success of sentinel lymph node mapping after breast cancer ablation with focused microwave phased array thermotherapy. Am J Surg. 2003;186(4):330–2.

    Google Scholar 

  41. Zhou W, Zha X, Liu X, Ding Q, Chen L, Ni Y, et al. US-guided percutaneous microwave coagulation of small breast cancers: a clinical study. Radiology. 2012;263(2):364–73.

    Google Scholar 

  42. Trelles MA, Pardo L, Chamorro JJ, Bonanad E, Allones I, Buil C, et al. Erbium:YAG laser as a method of deepithelization in corrective and reductive breast surgery. Ann Plast Surg. 2005;55(2):122–6.

    Article  PubMed  CAS  Google Scholar 

  43. Akimov AB, Seregin VE, Rusanov KV, Tyurina EG, Glushko TA, Nevzorov VP, et al. Nd: YAG interstitial laser thermotherapy in the treatment of breast cancer. Lasers Surg Med. 1998;22(5):257–67.

    Article  PubMed  CAS  Google Scholar 

  44. Bloom KJ, Dowlat K, Assad L. Pathologic changes after interstitial laser therapy of infiltrating breast carcinoma. Am J Surg. 2001;182(4):384–8.

    Article  PubMed  CAS  Google Scholar 

  45. Dowlatshahi K, Francescatti DS, Bloom KJ, Jewell WR, Schwartzberg BS, Singletary SE, et al. Image-guided surgery of small breast cancers. Am J Surg. 2001;182(4):419–25.

    Article  PubMed  CAS  Google Scholar 

  46. Haraldsdóttir KH, Ivarsson K, Götberg S, Ingvar C, Stenram U, Tranberg K-G. Interstitial laser thermotherapy (ILT) of breast cancer. Eur J Surg Oncol. 2008;34(7):739–45.

    Article  PubMed  Google Scholar 

  47. Vlastos G, Verkooijen HM. Minimally invasive approaches for diagnosis and treatment of early-stage breast cancer. Oncologist. 2007;12(1):1–10.

    Article  PubMed  Google Scholar 

  48. Bosch MAAJVD, Daniel BL. MR-guided interventions of the breast. Magn Reson Imaging Clin N Am. 2005;13(3):505–17.

    Article  PubMed  Google Scholar 

  49. Mumtaz H, Hall-Craggs MA, Wotherspoon A, Paley M, Buonaccorsi G, Amin Z, et al. Laser therapy for breast cancer: MR imaging and histopathologic correlation. Radiology. 1996;200(3):651–8.

    PubMed  CAS  Google Scholar 

  50. Dowlatshahi K, Wadhwani S, Alvarado R, Valadez C, Dieschbourg J. Interstitial laser therapy of breast fibroadenomas with 6 and 8 year follow-up. Breast J. 2010;16(1):73–6.

    Article  PubMed  CAS  Google Scholar 

  51. Van Esser S, Stapper G, van Diest PJ, van den Bosch MAAJ, Klaessens JHGM, Mali WPTM, et al. Ultrasound-guided laser-induced thermal therapy for small palpable invasive breast carcinomas: a feasibility study. Ann Surg Oncol. 2009;16(8):2259–63.

    Article  PubMed  Google Scholar 

  52. Harries SA, Amin Z, Smith ME, Lees WR, Cooke J, Cook MG, et al. Interstitial laser photocoagulation as a treatment for breast cancer. Br J Surg. 1994;81(11):1617–9.

    Article  PubMed  CAS  Google Scholar 

  53. Novian Health Inc. American Breast Laser Ablation Therapy Evaluation (ABLATE) In: ClinicalTrials.gov [Internet]. 2011. Available from: http://www.clinicaltrials.gov/ct2/show/study/NCT00807924. Cited 7 Apr 2011. p. NLMIdentifier:NCT00807924. http://www.nlm.nih.gov/services/ctcite.html

  54. Lynn JG, Zwemer RL, Chick AJ, Miller AE. A new method for the generation and use of focused ultrasound in experimental biology. J Gen Physiol. 1942;26(2):179–93.

    Article  PubMed  CAS  Google Scholar 

  55. Chen L, Bouley D, Yuh E, D’Arceuil H, Butts K. Study of focused ultrasound tissue damage using MRI and histology. J Magn Reson Imaging. 1999;10(2):146–53.

    Article  PubMed  CAS  Google Scholar 

  56. McDannold N, Hynynen K, Wolf D, Wolf G, Jolesz F. MRI evaluation of thermal ablation of tumors with focused ultrasound. J Magn Reson Imaging. 1998;8(1):91–100.

    Article  PubMed  CAS  Google Scholar 

  57. Van Esser S, Veldhuis WB, Van Hillegersberg R, van Diest PJ, Stapper G, ElOuamari M, et al. Accuracy of contrast-enhanced breast ultrasound for pre-operative tumor size assessment in patients diagnosed with invasive ductal carcinoma of the breast. Cancer Imaging. 2007;7:63–8.

    Article  PubMed  Google Scholar 

  58. Furusawa H, Namba K, Nakahara H, Tanaka C, Yasuda Y, Hirabara E, et al. The evolving non-surgical ablation of breast cancer: MR guided focused ultrasound (MRgFUS). Breast Cancer. 2007;14(1):55–8.

    Article  PubMed  Google Scholar 

  59. Hynynen K, McDannold N, Mulkern RV, Jolesz FA. Temperature monitoring in fat with MRI. Magn Reson Med. 2000;43(6):901–4.

    Article  PubMed  CAS  Google Scholar 

  60. Rieke V, Butts Pauly K. Echo combination to reduce proton resonance frequency (PRF) thermometry errors from fat. J Magn Reson Imaging. 2008;27(3):673–7.

    Article  PubMed  Google Scholar 

  61. Hynynen K, Pomeroy O, Smith DN, Huber PE, McDannold NJ, Kettenbach J, et al. MR imaging-guided focused ultrasound surgery of fibroadenomas in the breast: a feasibility study. Radiology. 2001;219(1):176–85.

    PubMed  CAS  Google Scholar 

  62. Furusawa H, Namba K, Thomsen S, Akiyama F, Bendet A, Tanaka C, et al. Magnetic resonance-guided focused ultrasound surgery of breast cancer: reliability and effectiveness. J Am Coll Surg. 2006;203(1):54–63.

    Article  PubMed  Google Scholar 

  63. Gianfelice D, Khiat A, Amara M, Belblidia A, Boulanger Y. MR imaging-guided focused US ablation of breast cancer: histopathologic assessment of effectiveness – initial experience. Radiology. 2003;227(3):849–55.

    Article  PubMed  Google Scholar 

  64. Wu F, Wang Z-B, Cao Y-D, Zhu X-Q, Zhu H, Chen W-Z, et al. “Wide local ablation” of localized breast cancer using high intensity focused ultrasound. J Surg Oncol. 2007;96(2):130–6.

    Article  PubMed  Google Scholar 

  65. Huber PE, Jenne JW, Rastert R, Simiantonakis I, Sinn HP, Strittmatter HJ, et al. A new noninvasive approach in breast cancer therapy using magnetic resonance imaging-guided focused ultrasound surgery. Cancer Res. 2001;61(23):8441–7.

    PubMed  CAS  Google Scholar 

  66. Wu F, Wang Z-B, Cao Y-D, Chen W-Z, Bai J, Zou J-Z, et al. A randomised clinical trial of high-intensity focused ultrasound ablation for the treatment of patients with localised breast cancer. Br J Cancer. 2003;89(12):2227–33.

    Article  PubMed  CAS  Google Scholar 

  67. Gianfelice D, Khiat A, Boulanger Y, Amara M, Belblidia A. Feasibility of magnetic resonance imaging-guided focused ultrasound surgery as an adjunct to tamoxifen therapy in high-risk surgical patients with breast carcinoma. J Vasc Interv Radiol. 2003;14(10):1275–82.

    Article  PubMed  Google Scholar 

  68. Zippel D, Papa M. The use of MR imaging guided focused ultrasound in breast cancer patients; a preliminary phase one study and review. Breast Cancer. 2005;12(1):32–8.

    Article  PubMed  Google Scholar 

  69. Gombos E, Kacher D, Furusawa H, Namba K. Breast focused ultrasound surgery with magnetic resonance guidance. Top Magn Reson Imaging. 2006;17(3):181.

    Article  PubMed  Google Scholar 

  70. Bitton RR, Kaye E, Dirbas FM, Daniel BL, Pauly KB. Toward MR-guided high intensity focused ultrasound for presurgical localization: focused ultrasound lesions in cadaveric breast tissue. J Magn Reson Imaging. 2012;35(5):1089–97.

    Article  PubMed  Google Scholar 

  71. Schmitz AC, van den Bosch MAAJ, Rieke V, Dirbas FM, Butts Pauly K, Mali WPTM, et al. 3.0-T MR-guided focused ultrasound for preoperative localization of nonpalpable breast lesions: an initial experimental ex vivo study. J Magn Reson Imaging. 2009;30(4):884–9.

    Article  PubMed  Google Scholar 

  72. Lopez JK, Bassett LW. Invasive lobular carcinoma of the breast: spectrum of mammographic, US, and MR imaging findings. Radiographics. 2009;29(1):165–76.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Lucas Center for Imaging, Stanford University, School of Medicine, 1201 Welch Road, MC 5488, Stanford, CA, 94305, USA

    Rachel R. Bitton Ph.D. & Kim Butts Pauly Ph.D.

  2. Department of Radiology, Stanford University, School of Medicine, 300 Pasteur Dr., H1307 MC 5621, Stanford, CA, 94305, USA

    Bruce L. Daniel M.D.

Authors
  1. Rachel R. Bitton Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bruce L. Daniel M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kim Butts Pauly Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rachel R. Bitton Ph.D. .

Editor information

Editors and Affiliations

  1. Dept. Radiology, Penn Presbyterian Medical Center, 39th and Market Streets, Philadelphia, 19104, Pennsylvania, USA

    Timothy Clark

  2. St. Thomas' Hospital, Hospital, NHS Trust, Great Maze Pond, London, SE1 7RT, United Kingdom

    Tarun Sabharwal

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Bitton, R.R., Daniel, B.L., Pauly, K.B. (2013). Breast Ablation: Breast Carcinoma, Fibroadenomas. In: Clark, T., Sabharwal, T. (eds) Interventional Radiology Techniques in Ablation. Techniques in Interventional Radiology. Springer, London. https://doi.org/10.1007/978-0-85729-094-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-0-85729-094-6_8

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-093-9

  • Online ISBN: 978-0-85729-094-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation