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Palliative Treatment of Rectal Carcinoma Recurrence Using Radiofrequency Ablation

  • Clinical Investigation
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Abstract

Purpose

To evaluate the safety and efficacy of CT-guided radiofrequency (RF) ablation for the palliative treatment of recurrent unresectable rectal tumors.

Materials and Methods

Twenty-seven patients with locally recurrent rectal cancer were treated with computed tomography (CT)-guided RF ablation. Therapy was performed with the patient under conscious sedation with a seven- or a nine-array expandable RF electrode for 8–10 min at 80–110°C and a power of 90–110 W. All patients went home under instructions the next day of the procedure. Brief Pain Inventory score was calculated before and after (1 day, 1 week, 1 month, 3 months, and 6 months) treatment.

Results

Complete tumor necrosis rate was 77.8% (21 of a total 27 procedures) despite lesion location. BPI score was dramatically decreased after the procedure. The mean preprocedure BPI score was 6.59, which decreased to 3.15, 1.15, and 0.11 at postprocedure day 1, week 1, and month 1, respectively, after the procedure. This decrease was significant (p < 0.01 for the first day and p < 0.001 for the rest of the follow-up intervals (paired Student t test; n − 1 = 26) for all periods during follow-up. Six patients had partial tumor necrosis, and we were attempted to them with a second procedure. Although the necrosis area showed a radiographic increase, no complete necrosis was achieved (secondary success rate 65.6%). No immediate or delayed complications were observed.

Conclusion

CT-guided RF ablation is a minimally invasive, safe, and highly effective technique for treatment of malignant rectal recurrence. The method is well tolerated by patients, and pain relief is quickly achieved.

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Authors and Affiliations

  1. Hellenic Red Cross Hospital “Korgialenio—Benakio”, 1 Athanasaki Str, 115 46, Athens, Greece

    Sophia Mylona, Georgios Karagiannis & Sofia Patsoura

  2. Amalia Fleming Hospital, 14 25th Martiou Str, 151 27, Athens, Greece

    Panagiota Galani

  3. Evgenidion Hospital, 20 Papadiamantopoulou Str, 115 28, Athens, Greece

    Maria Pomoni

  4. Sotiria Hospital, 152 Mesogion Str, 115 27, Athens, Greece

    Loukas Thanos

Authors
  1. Sophia Mylona
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  2. Georgios Karagiannis
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  3. Sofia Patsoura
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  4. Panagiota Galani
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  5. Maria Pomoni
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  6. Loukas Thanos
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Correspondence to Sophia Mylona.

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Mylona, S., Karagiannis, G., Patsoura, S. et al. Palliative Treatment of Rectal Carcinoma Recurrence Using Radiofrequency Ablation. Cardiovasc Intervent Radiol 35, 875–882 (2012). https://doi.org/10.1007/s00270-011-0320-x

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  • DOI: https://doi.org/10.1007/s00270-011-0320-x

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