Top

CardioVascular and Interventional Radiology

Published in:

01-12-2014 | Clinical Investigation

Percutaneous Cryoablation of Symptomatic Abdominal Scar Endometrioma: Initial Reports

Authors: F. Cornelis, F. Petitpierre, A. S. Lasserre, E. Tricaud, B. Dallaudière, E. Stoeckle, Y. Le Bras, M. Bouzgarrou, J. L. Brun, N. Grenier

Published in: CardioVascular and Interventional Radiology | Issue 6/2014

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.

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):207–212PubMedCrossRef

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

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):616–620CrossRef

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):672–675CrossRef

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

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):56–59PubMedCrossRef

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

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):1101–1103PubMedCrossRef

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):1527–1540PubMedCrossRef

10.

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

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):823–827PubMedCrossRef

12.

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

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):1368–1374PubMedCrossRef

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):572–580PubMedCrossRef

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):765–778PubMedCrossRef

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):471–475PubMedCrossRef

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):364–370PubMedCrossRef

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):2031–2043PubMedCrossRef

Title: Percutaneous Cryoablation of Symptomatic Abdominal Scar Endometrioma: Initial Reports
Authors: F. Cornelis
F. Petitpierre
A. S. Lasserre
E. Tricaud
B. Dallaudière
E. Stoeckle
Y. Le Bras
M. Bouzgarrou
J. L. Brun
N. Grenier
Publication date: 01-12-2014
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 6/2014
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-014-0843-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous Cryoablation of Symptomatic Abdominal Scar Endometrioma: Initial Reports

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2014

Initial Experience With Ticagrelor in Patients With Critical Limb Ischemia and High On-Clopidogrel Platelet Reactivity Undergoing Complex Peripheral Endovascular Procedures

Vessel Patency Post Irreversible Electroporation

Gun-Sight, Not Shotgun, Nor Gun-Shot

Erratum to: Comparison Between Proximal Versus Distal Protection Devices in 287 Cases of Carotid Revascularization Using Angioplasty and Stenting: Periprocedure Complications, Morbidity, and Mortality

Tract Embolization With Gelatin Sponge Slurry for Prevention of Pneumothorax After Percutaneous Computed Tomography-Guided Lung Biopsy

Efficacy and Safety of Percutaneous Cryoablation for Stage 1A/B Renal Cell Carcinoma: Results of a Prospective, Single-Arm, 5-Year Study