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Published in: CardioVascular and Interventional Radiology 2/2011

01-04-2011 | Case Report

Spontaneous Regression of Multiple Pulmonary Metastases After Radiofrequency Ablation of a Single Metastasis

Authors: Pramod Rao, Bernard Escudier, Thierry de Baere

Published in: CardioVascular and Interventional Radiology | Issue 2/2011

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Abstract

We report two cases of spontaneous regression of multiple pulmonary metastases occurring after radiofrequency ablation (RFA) of a single lung metastasis. To the best of our knowledge, these are the first such cases reported. These two patients presented with lung metastases progressive despite treatment with interleukin-2, interferon, or sorafenib but were safely ablated with percutaneous RFA under computed tomography guidance. Percutaneous RFA allowed control of the targeted tumors for >1 year. Distant lung metastases presented an objective response despite the fact that they received no targeted local treatment. Local ablative techniques, such as RFA, induce the release of tumor-degradation product, which is probably responsible for an immunologic reaction that is able to produce a response in distant tumors.
Literature
1.
go back to reference Lam JS, Leppert JT, Belldegrun AS, Figlin RA (2005) Novel approaches in the therapy of metastatic renal cell carcinoma. World J Urol 23:202–212CrossRefPubMed Lam JS, Leppert JT, Belldegrun AS, Figlin RA (2005) Novel approaches in the therapy of metastatic renal cell carcinoma. World J Urol 23:202–212CrossRefPubMed
2.
go back to reference Ritenour C, Northway R, Marshall F (2002) Renal tumors. In: Gillenwater JY (ed) Adult and pediatric urology. Lippincot Williams and Wilkins, Philadelphia, PA, pp 611–640 Ritenour C, Northway R, Marshall F (2002) Renal tumors. In: Gillenwater JY (ed) Adult and pediatric urology. Lippincot Williams and Wilkins, Philadelphia, PA, pp 611–640
3.
go back to reference Bumpus HJ (1928) The apparent disappearance of pulmonary metastases in a case of hypernephroma following nephrectomy. J Urol 20:185–191 Bumpus HJ (1928) The apparent disappearance of pulmonary metastases in a case of hypernephroma following nephrectomy. J Urol 20:185–191
4.
go back to reference Dekernion JB, Ramming KP, Smith RB (1978) The natural history of metastatic renal cell carcinoma: a computer analysis. J Urol 120:148–152PubMed Dekernion JB, Ramming KP, Smith RB (1978) The natural history of metastatic renal cell carcinoma: a computer analysis. J Urol 120:148–152PubMed
5.
go back to reference Fairlamb DJ (1981) Spontaneous regression of metastases of renal cancer: a report of two cases including the first recorded regression following irradiation of a dominant metastasis and review of the world literature. Cancer 47:2102–2106CrossRefPubMed Fairlamb DJ (1981) Spontaneous regression of metastases of renal cancer: a report of two cases including the first recorded regression following irradiation of a dominant metastasis and review of the world literature. Cancer 47:2102–2106CrossRefPubMed
6.
go back to reference Ferry AP, Font RL (1974) Carcinoma metastatic to the eye and orbit. I. A clinicopathologic study of 227 cases. Arch Ophthalmol 92:276–286PubMed Ferry AP, Font RL (1974) Carcinoma metastatic to the eye and orbit. I. A clinicopathologic study of 227 cases. Arch Ophthalmol 92:276–286PubMed
7.
go back to reference Guthbjartsson T, Gislason T (1995) Spontaneous regression of brain metastasis secondary to renal cell carcinoma. Scand J Urol Nephrol 29:215–217CrossRefPubMed Guthbjartsson T, Gislason T (1995) Spontaneous regression of brain metastasis secondary to renal cell carcinoma. Scand J Urol Nephrol 29:215–217CrossRefPubMed
8.
go back to reference Hammad AM, Paris GR, van Heuven WA, Thompson IM, Fitzsimmons TD (2003) Spontaneous regression of choroidal metastasis from renal cell carcinoma. Am J Ophthalmol 135:911–913CrossRefPubMed Hammad AM, Paris GR, van Heuven WA, Thompson IM, Fitzsimmons TD (2003) Spontaneous regression of choroidal metastasis from renal cell carcinoma. Am J Ophthalmol 135:911–913CrossRefPubMed
9.
go back to reference Lokich J (1997) Spontaneous regression of metastatic renal cancer. Case report and literature review. Am J Clin Oncol 20:416–418CrossRefPubMed Lokich J (1997) Spontaneous regression of metastatic renal cancer. Case report and literature review. Am J Clin Oncol 20:416–418CrossRefPubMed
10.
go back to reference Marcus SG, Choyke PL, Reiter R et al. (1993) Regression of metastatic renal cell carcinoma after cytoreductive nephrectomy. J Urol 150(2 Pt 1):463–466 Marcus SG, Choyke PL, Reiter R et al. (1993) Regression of metastatic renal cell carcinoma after cytoreductive nephrectomy. J Urol 150(2 Pt 1):463–466
11.
go back to reference Rodier JF, Rodier D, Janser JC, Navarrete E, Vergnes Y (1988) Spontaneous regression of pulmonary metastasis of cancer of the kidney. Apropos of a case occurring after the irradiation of a pelvic metastasis. Review of the literature. J Chir (Paris) 125:341–345 Rodier JF, Rodier D, Janser JC, Navarrete E, Vergnes Y (1988) Spontaneous regression of pulmonary metastasis of cancer of the kidney. Apropos of a case occurring after the irradiation of a pelvic metastasis. Review of the literature. J Chir (Paris) 125:341–345
12.
go back to reference Sanchez-Ortiz RF, Tannir N, Ahrar K, Wood CG (2003) Spontaneous regression of pulmonary metastases from renal cell carcinoma after radio frequency ablation of primary tumor: an in situ tumor vaccine? J Urol 170:178–179CrossRefPubMed Sanchez-Ortiz RF, Tannir N, Ahrar K, Wood CG (2003) Spontaneous regression of pulmonary metastases from renal cell carcinoma after radio frequency ablation of primary tumor: an in situ tumor vaccine? J Urol 170:178–179CrossRefPubMed
13.
go back to reference de Baere T, Palussiere J, Auperin A et al (2006) Midterm local efficacy and survival after radiofrequency ablation of lung tumors with minimum follow-up of 1 year: prospective evaluation. Radiology 240:587–596CrossRefPubMed de Baere T, Palussiere J, Auperin A et al (2006) Midterm local efficacy and survival after radiofrequency ablation of lung tumors with minimum follow-up of 1 year: prospective evaluation. Radiology 240:587–596CrossRefPubMed
14.
go back to reference Oliver RT, Nethersell AB, Bottomley JM (1989) Unexplained spontaneous regression and alpha-interferon as treatment for metastatic renal carcinoma. Br J Urol 63:128–131CrossRefPubMed Oliver RT, Nethersell AB, Bottomley JM (1989) Unexplained spontaneous regression and alpha-interferon as treatment for metastatic renal carcinoma. Br J Urol 63:128–131CrossRefPubMed
15.
go back to reference Mohr SJ, Whitesel JA (1979) Spontaneous regression of renal cell carcinoma metastases after preoperative embolization of primary tumor and subsequent nephrectomy. Urology 14:5–8CrossRefPubMed Mohr SJ, Whitesel JA (1979) Spontaneous regression of renal cell carcinoma metastases after preoperative embolization of primary tumor and subsequent nephrectomy. Urology 14:5–8CrossRefPubMed
16.
go back to reference Coley W (1893) The treatment of malignant tumors by repeated inoculations of erysipelas: with a report of ten original cases. Am J Med Sci 105:487–511CrossRef Coley W (1893) The treatment of malignant tumors by repeated inoculations of erysipelas: with a report of ten original cases. Am J Med Sci 105:487–511CrossRef
17.
go back to reference Johnston B, Novales E (1962) Clinical effect of Coley’s toxin: a seven-year study. Cancer Chemother Rep 21:43–68PubMed Johnston B, Novales E (1962) Clinical effect of Coley’s toxin: a seven-year study. Cancer Chemother Rep 21:43–68PubMed
18.
go back to reference Abubakr YA, Chou TH, Redman BG (1994) Spontaneous remission of renal cell carcinoma: a case report and immunological correlates. J Urol 152:156–157PubMed Abubakr YA, Chou TH, Redman BG (1994) Spontaneous remission of renal cell carcinoma: a case report and immunological correlates. J Urol 152:156–157PubMed
19.
go back to reference Crisci A, Corsale I, Abrami F et al (2008) Spontaneous regression of lung metastases from renal cell carcinoma: the importance of immunogenetic factors and a review of the literature. Minerva Urol Nefrol 60:123–135PubMed Crisci A, Corsale I, Abrami F et al (2008) Spontaneous regression of lung metastases from renal cell carcinoma: the importance of immunogenetic factors and a review of the literature. Minerva Urol Nefrol 60:123–135PubMed
20.
go back to reference Hansler J, Neureiter D, Strobel D et al (2002) Cellular and vascular reactions in the liver to radio-frequency thermo-ablation with wet needle applicators. Study on juvenile domestic pigs. Eur Surg Res 34:357–363CrossRefPubMed Hansler J, Neureiter D, Strobel D et al (2002) Cellular and vascular reactions in the liver to radio-frequency thermo-ablation with wet needle applicators. Study on juvenile domestic pigs. Eur Surg Res 34:357–363CrossRefPubMed
21.
go back to reference den Brok MH, Sutmuller RP, van der Voort R et al (2004) In situ tumor ablation creates an antigen source for the generation of antitumor immunity. Cancer Res 64:4024–4029CrossRef den Brok MH, Sutmuller RP, van der Voort R et al (2004) In situ tumor ablation creates an antigen source for the generation of antitumor immunity. Cancer Res 64:4024–4029CrossRef
22.
go back to reference den Brok MH, Sutmuller RP, Nierkens S et al (2006) Efficient loading of dendritic cells following cryo and radiofrequency ablation in combination with immune modulation induces anti-tumour immunity. Br J Cancer 95:896–905CrossRef den Brok MH, Sutmuller RP, Nierkens S et al (2006) Efficient loading of dendritic cells following cryo and radiofrequency ablation in combination with immune modulation induces anti-tumour immunity. Br J Cancer 95:896–905CrossRef
23.
go back to reference Ali MY, Grimm CF, Ritter M et al (2005) Activation of dendritic cells by local ablation of hepatocellular carcinoma. J Hepatol 43:817–822CrossRefPubMed Ali MY, Grimm CF, Ritter M et al (2005) Activation of dendritic cells by local ablation of hepatocellular carcinoma. J Hepatol 43:817–822CrossRefPubMed
24.
go back to reference Hansler J, Wissniowski TT, Schuppan D et al (2006) Activation and dramatically increased cytolytic activity of tumor specific T lymphocytes after radio-frequency ablation in patients with hepatocellular carcinoma and colorectal liver metastases. World J Gastroenterol 12:3716–3721PubMed Hansler J, Wissniowski TT, Schuppan D et al (2006) Activation and dramatically increased cytolytic activity of tumor specific T lymphocytes after radio-frequency ablation in patients with hepatocellular carcinoma and colorectal liver metastases. World J Gastroenterol 12:3716–3721PubMed
25.
go back to reference Schueller G, Kettenbach J, Sedivy R et al (2004) Expression of heat shock proteins in human hepatocellular carcinoma after radiofrequency ablation in an animal model. Oncol Rep 12:495–499PubMed Schueller G, Kettenbach J, Sedivy R et al (2004) Expression of heat shock proteins in human hepatocellular carcinoma after radiofrequency ablation in an animal model. Oncol Rep 12:495–499PubMed
26.
go back to reference Dong BW, Zhang J, Liang P et al (2003) Sequential pathological and immunologic analysis of percutaneous microwave coagulation therapy of hepatocellular carcinoma. Int J Hyperth 19:119–133CrossRef Dong BW, Zhang J, Liang P et al (2003) Sequential pathological and immunologic analysis of percutaneous microwave coagulation therapy of hepatocellular carcinoma. Int J Hyperth 19:119–133CrossRef
27.
go back to reference Ng KK, Lam CM, Poon RT et al (2004) Comparison of systemic responses of radiofrequency ablation, cryotherapy, and surgical resection in a porcine liver model. Ann Surg Oncol 11:650–657CrossRefPubMed Ng KK, Lam CM, Poon RT et al (2004) Comparison of systemic responses of radiofrequency ablation, cryotherapy, and surgical resection in a porcine liver model. Ann Surg Oncol 11:650–657CrossRefPubMed
Metadata
Title
Spontaneous Regression of Multiple Pulmonary Metastases After Radiofrequency Ablation of a Single Metastasis
Authors
Pramod Rao
Bernard Escudier
Thierry de Baere
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 2/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-010-9896-9

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