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心膈角淋巴结转移瘤的冷冻消融：一例报告

Cryoablation of cardiophrenic angle lymph node metastases: a case report.

作者信息

Luo Xiaomei, He Weibing, Long Xinan, Fang Gang, Li Zhonghai, Li Rongrong, Xu Kecheng, Niu Lizhi

机构信息

Medical College, Jinan University, Guangzhou, 510632, Guangdong Province, China.

Department of Oncology, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China.

出版信息

J Med Case Rep. 2017 Aug 14;11(1):223. doi: 10.1186/s13256-017-1313-4.

DOI:10.1186/s13256-017-1313-4
PMID:28803547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5554983/
Abstract

BACKGROUND

Cardiophrenic angle lymph node metastases are relatively rare. Surgical resection is the main treatment for cardiophrenic angle lymph node metastasis, but it is not always possible.

CASE PRESENTATION

Here, we report our initial experience with cryoablation of a cardiophrenic angle lymph node metastasis from liver cancer. As the cardiophrenic angle lymph node metastasis was located close to the heart, about 200 mL of 0.9% saline was injected into the pericardium to separate the heart from the target area. The cardiophrenic angle lymph node metastasis was successfully ablated, without any complications.

CONCLUSIONS

Cryoablation may be a suitable alternative treatment for cardiophrenic angle lymph node metastasis.

摘要

背景

心膈角淋巴结转移相对少见。手术切除是心膈角淋巴结转移的主要治疗方法，但并非总是可行。

病例报告

在此，我们报告对一例肝癌心膈角淋巴结转移进行冷冻消融的初步经验。由于心膈角淋巴结转移靠近心脏，向心包内注入约200毫升0.9%生理盐水以将心脏与靶区分开。成功消融了心膈角淋巴结转移灶，无任何并发症。

结论

冷冻消融可能是心膈角淋巴结转移的一种合适的替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/ea02f48572f3/13256_2017_1313_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/a29431a88483/13256_2017_1313_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/275ff8d4d0bb/13256_2017_1313_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/5308b7c0962e/13256_2017_1313_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/ea02f48572f3/13256_2017_1313_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/a29431a88483/13256_2017_1313_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/275ff8d4d0bb/13256_2017_1313_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/5308b7c0962e/13256_2017_1313_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/5554983/ea02f48572f3/13256_2017_1313_Fig4_HTML.jpg

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本文引用的文献

1
The value of artificial pleural effusion for percutaneous microwave ablation of liver tumour in the hepatic dome: a retrospective case-control study.人工胸腔积液在经皮微波消融治疗肝顶部肝脏肿瘤中的价值：一项回顾性病例对照研究。
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Cardiophrenic angle lymph node metastasis from a fallopian primary tumor.
来自输卵管原发性肿瘤的心膈角淋巴结转移
Asian Cardiovasc Thorac Ann. 2012 Feb;20(1):74-6. doi: 10.1177/0218492311422756.
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Percutaneous cryoablation of lung tumors: feasibility and safety.经皮冷冻消融治疗肺肿瘤：可行性和安全性。
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How I do it: radiofrequency ablation and cryoablation of lung tumors.方法：肺肿瘤的射频消融与冷冻消融。
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Cryoablation for liver cancer.肝癌的冷冻消融治疗
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CT-guided percutaneous cryotherapy of renal masses.CT引导下肾肿块的经皮冷冻治疗
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8
Radiofrequency ablation therapy in patients with breast cancers two centimeters or less in size.针对肿瘤大小为两厘米或更小的乳腺癌患者的射频消融治疗。
Breast Cancer. 2007;14(1):48-54. doi: 10.2325/jbcs.14.48.
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Update on cryotherapy for prostate cancer in 2006.2006年前列腺癌冷冻治疗的最新进展
Curr Opin Urol. 2006 May;16(3):152-6. doi: 10.1097/01.mou.0000193393.54598.9f.
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Radiofrequency ablation of peripheral liver tumors: intraperitoneal 5% dextrose in water decreases postprocedural pain.肝外周肿瘤的射频消融术：腹腔内注射5%葡萄糖水溶液可减轻术后疼痛。
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