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CardioVascular and Interventional Radiology

Published in:

01-04-2015 | Clinical Investigation

Percutaneous Radiofrequency Ablation of Lung Cancer Presenting as Ground-Glass Opacity

Authors: Toshihiro Iguchi, Takao Hiraki, Hideo Gobara, Hiroyasu Fujiwara, Yusuke Matsui, Junichi Soh, Shinichi Toyooka, Katsuyuki Kiura, Susumu Kanazawa

Published in: CardioVascular and Interventional Radiology | Issue 2/2015

Abstract

Purpose

We retrospectively evaluated the outcomes of lung cancer patients presenting with ground-glass opacity (GGO) who received radiofrequency ablation (RFA).

Methods

Sixteen patients (5 men and 11 women; mean age, 72.6 years) with 17 lung cancer lesions showing GGO (mean long axis diameter, 1.6 cm) underwent a total of 20 percutaneous computed tomography (CT) fluoroscopy-guided RFA sessions, including three repeated sessions for local progression. Lung cancer with GGO was defined as a histologically confirmed malignant pulmonary lesion with a GGO component accounting for >50 % of the lesion on high-resolution CT. Procedure outcomes were evaluated.

Results

There were no major complications. Pneumothorax occurred in 15 of 20 treatment sessions: 14 were asymptomatic, and 1 required chest tube placement but resolved satisfactorily within 48 h. Minor pulmonary hemorrhage occurred in two and mild pneumonitis in one. The median tumor follow-up period was 61.5 (range 6.1–96.6) months. The effectiveness rates of the primary and secondary techniques were 100 and 100 % at 1 year, 93.3 and 100 % at 2 years, and 78.3 and 92.3 % at 3 years, respectively. The median patient follow-up period was 65.6 (range 6.1–96.6) months. One patient died owing to recurrent other cancer 11.7 months after RFA, whereas the other 15 remained alive. Overall survival and disease-specific survival rates were 93.3 and 100 % at 1 year and 93.3 and 100 % at 5 years, respectively.

Conclusions

RFA for lung cancer with GGO was safe and effective, and resulted in promising survival rates.

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Title: Percutaneous Radiofrequency Ablation of Lung Cancer Presenting as Ground-Glass Opacity
Authors: Toshihiro Iguchi
Takao Hiraki
Hideo Gobara
Hiroyasu Fujiwara
Yusuke Matsui
Junichi Soh
Shinichi Toyooka
Katsuyuki Kiura
Susumu Kanazawa
Publication date: 01-04-2015
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 2/2015
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-014-0926-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous Radiofrequency Ablation of Lung Cancer Presenting as Ground-Glass Opacity

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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