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肾细胞癌胰腺转移灶的射频消融:病例报告

Radiofrequency ablation of a pancreatic metastasis from renal cell carcinoma: case report.

作者信息

Carrafiello Gianpaolo, Laganà Domenico, Recaldini Chiara, Dionigi Gianlorenzo, Boni Luigi, Bacuzzi Alessandro, Fugazzola Carlo

机构信息

Department of *Radiology, University of Insubria, Varese, Italy.

出版信息

Surg Laparosc Endosc Percutan Tech. 2008 Feb;18(1):64-6. doi: 10.1097/SLE.0b013e3181592a13.

Abstract

INTRODUCTION

There is little reported experience of radiofrequency ablation (RFA) of pancreatic tumors. The pancreas is surrounded by structures such as the stomach, duodenum, and colon and concerns regarding the risks of thermal injury to these structures have limited the use of RFA for nonresectable pancreatic tumors.

CASE REPORT

This brief report describes the application of this technique for the treatment of a metastasis from renal cell carcinoma localized at the body-tail portion of the pancreas in a 77-year-old man and the outcome of the procedure at 1-year follow-up.

CONCLUSIONS

In our experience, RFA is feasible also for metastatic lesion at the pancreas and it was safely carried out in this case. Long-term follow-up and larger series are necessary to assess the spectrum of complications and the true oncologic efficacy.

摘要

引言

关于胰腺肿瘤射频消融(RFA)的报道经验较少。胰腺被胃、十二指肠和结肠等结构所环绕,对这些结构热损伤风险的担忧限制了RFA在不可切除胰腺肿瘤中的应用。

病例报告

本简要报告描述了该技术在一名77岁男性中用于治疗位于胰腺体尾部的肾细胞癌转移灶的应用情况以及术后1年随访结果。

结论

根据我们的经验,RFA对胰腺转移灶也是可行的,且在该病例中安全实施。需要长期随访和更大规模的系列研究来评估并发症范围和真正的肿瘤学疗效。

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