Department of Surgical Propaedeutics, Faculty of Medicine, Medical University-Pleven, Bulgaria; HIFU Center, St. Marina Hospital, Medical University Pleven, Bulgaria Medical University - Pleven, Bulgaria.
HIFU Center, St. Marina Hospital, Medical University-Pleven, Bulgaria.
Med Ultrason. 2020 May 11;22(2):247-249. doi: 10.11152/mu-2031. Epub 2019 Aug 15.
We present a case of recurrent pancreatic cancer diagnosed by computer tomography (CT) and positron emission tomography(PET), 7 months after Whipple radical surgery in a 61-year-old female patient. The patient was successfully treated byfocused ultrasound surgery (FUS) by innovative high intensity focused ultrasound device. The patient had no complications.Multiple cycles of chemotherapy were done. Twelve months after FUS the new PET-CT showed no evidence of metabolite activezone in the area of ablation and no progression of disease. The presented case is unique according to the literature as a localrecurrence after radical surgery for pancreatic cancer, successfully managed by local FUS ablation and adjuvant chemotherapy.
我们报告了一例 61 岁女性患者，在胰十二指肠切除术（Whipple 根治术）后 7 个月，通过计算机断层扫描（CT）和正电子发射断层扫描（PET）诊断为复发性胰腺癌。患者成功接受了创新高强度聚焦超声设备的聚焦超声手术（FUS）治疗，无并发症发生。进行了多次化疗循环。FUS 治疗 12 个月后，新的 PET-CT 显示消融区域无代谢活性区证据，且疾病无进展。根据文献报道，该病例为胰腺癌根治术后局部复发，通过局部 FUS 消融和辅助化疗成功治疗，这在临床上较为罕见。
