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.
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.
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。
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