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Percutaneous Cryoablation of Symptomatic Abdominal Scar Endometrioma: Initial Reports

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Abstract

Purpose

The purpose of this preliminary study was to report the short-term local control of percutaneous image-guided cryoablation of localized symptomatic abdominal scar endometrioma.

Methods

Four consecutive patients (mean age 34.5 years) with a total of ten lesions were included, with mean preoperative pain of 7 (range 5–9) on the visual analog scale. Cryoablation was performed in a single session under general anesthesia.

Results

Postoperative superficial edema disappeared within 2 weeks for all patients. No severe complications (>grade 2 according to the CTCAE classification) were reported. Mean postoperative pain was 1.7 at 6 months (range 0–5) and magnetic resonance imaging demonstrated a significant volume decrease for all patients (range 72.2–100 %; p = 0.028).

Conclusions

Percutaneous cryoablation shows promising local control in patients with symptomatic abdominal wall endometriosis.

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References

  1. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M (2008) Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 196(2):207–212

    Article  PubMed  Google Scholar 

  2. Erkan N, Haciyanli M, Sayhan H (2005) Abdominal wall endometriomas. Int J Gynaecol Obstet 89(1):59–60

    Article  CAS  PubMed  Google Scholar 

  3. Hensen JH, Van Breda Vriesman AC, Puylaert JB (2006) Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roetgenol 186(3):616–620

    Article  Google Scholar 

  4. Matthes G, Zabel DD, Nastala CL, Shestak KC (1998) Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy: case report and review of the literature. Ann Plastic Surg 40(6):672–675

    Article  CAS  Google Scholar 

  5. Carrafiello G, Fontana F, Pellegrino C et al (2009) Radiofrequency ablation of abdominal wall endometrioma. Cardiovasc Interv Radiol 32(6):1300–1303

    Article  Google Scholar 

  6. Wang Y, Wang W, Wang L, Wang J, Tang J (2011) Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: preliminary results. Eur J Radiol 79(1):56–59

    Article  PubMed  Google Scholar 

  7. Kujak JL, Liu PT, Johnson GB, Callstrom MR (2010) Early experience with percutaneous cryoablation of extra-abdominal desmoid tumors. Skeletal Radiol 39(2):175–182

    Article  PubMed  Google Scholar 

  8. Cornelis F, Italiano A, Al-Ammari S et al (2012) Successful iterative percutaneous cryoablation of multiple extraabdominal desmoid tumors in a patient with Gardner syndrome. J Vasc Interv Radiol 23(8):1101–1103

    Article  PubMed  Google Scholar 

  9. Callstrom MR, York JD, Gaba RC et al (2009) Research reporting standards for image-guided ablation of bone and soft tissue tumors. J Vasc Interv Radiol 20(12):1527–1540

    Article  PubMed  Google Scholar 

  10. Cornelis F, Neuville A, Labreze C et al (2013) Percutaneous cryotherapy of vascular malformation: initial experience. Cardiovasc Interv Radiol 36(3):853–856

    Article  CAS  Google Scholar 

  11. Cornelis F, Havez M, Labreze C et al (2013) Percutaneous cryoablation of symptomatic localized venous malformations: preliminary short-term results. J Vasc Interv Radiol 24(6):823–827

    Article  PubMed  Google Scholar 

  12. Callstrom MR, Kurup AN (2009) Percutaneous ablation for bone and soft tissue metastases—why cryoablation? Skeletal Radiol 38(9):835–839

    Article  PubMed  Google Scholar 

  13. Janzen NK, Perry KT, Han KR et al (2005) The effects of intentional cryoablation and radio frequency ablation of renal tissue involving the collecting system in a porcine model. J Urol 173(4):1368–1374

    Article  PubMed  Google Scholar 

  14. Callstrom MR, Atwell TD, Charboneau JW et al (2006) Painful metastases involving bone: percutaneous image-guided cryoablation–prospective trial interim analysis. Radiology 241(17057075):572–580

    Article  PubMed  Google Scholar 

  15. Goldberg SN, Grassi CJ, Cardella JF et al (2005) Image-guided tumor ablation: standardization of terminology and reporting criteria. J Vasc Interv Radiol 16(6):765–778

    Article  PubMed  Google Scholar 

  16. Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A (2005) Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynaecol Res 31(5):471–475

    Article  PubMed  Google Scholar 

  17. Cornelis F, Havez M, Lippa N et al (2013) Radiologically guided percutaneous cryotherapy for soft tissue tumours: a promising treatment. Diagn Interv Imaging 94(4):364–370

    Article  CAS  PubMed  Google Scholar 

  18. Gidwaney R, Badler RL, Yam BL et al (2012) Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics 32(7):2031–2043

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank Pippa McKelvie-Sebileau for medical editorial services.

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All authors have nothing to disclose.

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Correspondence to F. Cornelis.

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Cornelis, F., Petitpierre, F., Lasserre, A.S. et al. Percutaneous Cryoablation of Symptomatic Abdominal Scar Endometrioma: Initial Reports. Cardiovasc Intervent Radiol 37, 1575–1579 (2014). https://doi.org/10.1007/s00270-014-0843-z

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  • DOI: https://doi.org/10.1007/s00270-014-0843-z

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