Standards of Practice: Guidelines for Thermal Ablation of Primary and Secondary Lung Tumors

Pereira, Philippe L.; Salvatore, Marco

doi:10.1007/s00270-012-0340-1

Cited by 62 publications

(34 citation statements)

References 73 publications

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“…Post-procedural imaging was performed according to standard guidelines(16), beginning with a baseline CT or PET/CT after 1 month. Decision to perform CT or PET/CT on all follow up examinations was based on interventional radiologist and referring oncologist and dependent on clinical scernario.…”

Section: Methodsmentioning

confidence: 99%

Micropapillary and/or Solid Histologic Subtype Based on Pre-Treatment Biopsy Predicts Local Recurrence After Thermal Ablation of Lung Adenocarcinoma

Gao

Stein

Petre

et al. 2017

Cardiovasc Intervent Radiol

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Section: Methodsmentioning

confidence: 99%

Micropapillary and/or Solid Histologic Subtype Based on Pre-Treatment Biopsy Predicts Local Recurrence After Thermal Ablation of Lung Adenocarcinoma

Gao

Stein

Petre

et al. 2017

Cardiovasc Intervent Radiol

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“…Among patients with primary peripheral lung cancer, complete ablation may be suitable for: (i) patients who are not candidates for curative surgical resection because of cardiorespiratory comorbidity, insufficient vital lung function, or older age; (ii) patients who refuse to accept surgical resection; or (iii) patients with recurrent single lesions after other local treatment (including three‐dimensional conformal radiation or stereotactic body radiotherapy). The maximum tumor diameter for thermal ablation is ≤3 cm, with no evidence of nodal or distant metastases.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…Intrapulmonary metastases, such as kidney, colorectal and breast cancers, sarcoma, melanoma, and hepatocellular carcinoma, may have good outcomes, depending on their biological characteristics. If the primary disease can be effectively treated, thermal ablation can be used on pulmonary metastases.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…Because of excellent tolerance of percutaneous thermal therapy, identifying an absolute contraindication for lung thermal ablation is difficult, with the exception of patients with untreatable coagulopathies . However, caution should be exercised for patients with: (i) poorly controlled infection or inflammation around the lesions, puncture site infection, or ulceration; (ii) severe bleeding tendency, platelets <50 × 10 9 /L, or severely disordered coagulation, in whom anticoagulation and/or antiplatelet drugs should be discontinued at least five to seven days before percutaneous ablation; (iii) ipsilateral pleural malignant effusions that are not well controlled; (iv) severe liver, kidney, heart, lung or brain function insufficiency, severe anemia, severe dehydration and nutritional and metabolic disorders that cannot be corrected or improved in the short term, severe systemic infections, high fever (>38.5°C); or (v) Eastern Cooperative Oncology Group (ECOG) score > 3.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

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Chinese expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors

Fan

Chen³

et al. 2015

Thoracic Cancer

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Although surgical resection is the primary means of curing both primary and metastatic lung cancers, about 80% of lung cancers cannot be removed by surgery. As most patients with unresectable lung cancer receive only limited benefits from traditional radiotherapy and chemotherapy, many new local treatment methods have emerged, including local ablation therapy. The Minimally Invasive and Comprehensive Treatment of Lung Cancer Branch, Professional Committee of Minimally Invasive Treatment of Cancer of the Chinese Anti-Cancer Association has organized multidisciplinary experts to develop guidelines for this treatment modality. These guidelines aim at standardizing thermal ablation procedures and criteria for selecting treatment candidates and assessing outcomes; and for preventing and managing post-ablation complications.

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“…MWA is widely used in the local treatment of primary and metastatic lung tumours; especially in patients who are poor surgical candidates as a result of severe cardiorespiratory co-morbidity and insufficient vital lung function [2]. Although it is a relatively safe medical modality, MWA in common with radiofrequency ablation (RFA) therapy can lead to some regular complications.…”

Section: Introductionmentioning

confidence: 99%

Invasive pulmonary aspergillosis: A rare complication after microwave ablation

Huang

Liu

et al. 2014

International Journal of Hyperthermia

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Three cases are reported of invasive pulmonary aspergillosis (IPA) occurring after microwave ablation (MWA) for lung tumours. This is a rare complication that has not previously been described in the literature. The diagnosis of IPA was based on the following factors: host factors, clinical manifestations and mycological findings. The first case was a 63-year-old man treated for primary lung squamous carcinoma. Significant tumour regression was achieved by 18 days after MWA, medical treatment with itraconazole for 6 weeks, and postural drainage. The second case, a 65-year-old man, was confirmed with primary lung squamous cell carcinoma. Voriconazole administration using intravenous infusion combined with intracavitary lavage was therapeutically effective after MWA at 1 year follow-up. The third case was a 61-year-old woman with primary lung adenocarcinoma. Delayed pneumothorax and bronchopleural fistula secondary to IPA persisted. The patient died from secondary multiple organ function failure. Despite its very low incidence, the significance of early diagnosis and early administration of antifungal therapy should be highlighted because of the relentless severity of IPA in patients undergoing MWA.

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Standards of Practice: Guidelines for Thermal Ablation of Primary and Secondary Lung Tumors

Cited by 62 publications

References 73 publications

Micropapillary and/or Solid Histologic Subtype Based on Pre-Treatment Biopsy Predicts Local Recurrence After Thermal Ablation of Lung Adenocarcinoma

Micropapillary and/or Solid Histologic Subtype Based on Pre-Treatment Biopsy Predicts Local Recurrence After Thermal Ablation of Lung Adenocarcinoma

Chinese expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors

Invasive pulmonary aspergillosis: A rare complication after microwave ablation

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