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计算机断层扫描引导下微波消融治疗小儿肾上腺神经母细胞瘤合并肺结节1例报告

Computed tomography-guided microwave ablation therapy for pediatric adrenal neuroblastoma with lung nodule a case report.

作者信息

Peng Shu-Cong, Li Jing-Xiao, He Kun-Lin, Li Guo-Sheng, Feng Gui-Yu, He Xu, Li Yue, Yan Guan-Qiang, Gao Xiang, Chen Shang-Wei, Liu Jun, Yang Nuo

机构信息

Department of Thoracic Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, P.R. China.

Department of Thoracic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, P.R. China.

出版信息

J Cardiothorac Surg. 2025 Jan 8;20(1):45. doi: 10.1186/s13019-024-03307-4.

DOI:10.1186/s13019-024-03307-4
PMID:39773660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11707909/
Abstract

BACKGROUND

Solid lung lesions are common in clinical practice, and percutaneous thermal ablation has been shown to be an effective treatment for these lesions. While computed tomography (CT)-guided microwave ablation (MWA) therapy is frequently used for adult solid lesions, it is rarely considered for pediatric cases.

CASE PRESENTATION

A case of an 8-year-old child with adrenal neuroblastoma and a left upper lung mass. The child successfully underwent lung mass ablation and experienced a long-term progression-free period with good recovery and no recurrence.

CONCLUSIONS

This case suggests that MWA could be a valuable addition to existing treatment options for solid lesions in children.

摘要

背景

实性肺病变在临床实践中很常见,经皮热消融已被证明是治疗这些病变的有效方法。虽然计算机断层扫描(CT)引导下的微波消融(MWA)疗法常用于成人实性病变,但很少考虑用于儿科病例。

病例报告

一名8岁儿童患有肾上腺神经母细胞瘤和左上肺肿块。该儿童成功接受了肺肿块消融,经历了长期无进展期,恢复良好且无复发。

结论

该病例表明,MWA可能是儿童实性病变现有治疗方案的一个有价值的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ce/11707909/977e630e5449/13019_2024_3307_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ce/11707909/f1feac3b8cfd/13019_2024_3307_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ce/11707909/977e630e5449/13019_2024_3307_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ce/11707909/f1feac3b8cfd/13019_2024_3307_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ce/11707909/977e630e5449/13019_2024_3307_Fig2_HTML.jpg

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本文引用的文献

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Computed tomography-guided microwave ablation of pulmonary nodules in children.
Asian J Surg. 2023 Dec;46(12):6012-6014. doi: 10.1016/j.asjsur.2023.09.031. Epub 2023 Oct 6.
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A study of microwave ablation for small cell lung cancer.一项关于微波消融治疗小细胞肺癌的研究。
J Cancer Res Ther. 2022 Apr;18(2):399-404. doi: 10.4103/jcrt.jcrt_1965_21.
3
Recent advances in the developmental origin of neuroblastoma: an overview.神经母细胞瘤发生发展的最新研究进展:综述
J Exp Clin Cancer Res. 2022 Mar 11;41(1):92. doi: 10.1186/s13046-022-02281-w.
4
Clinical Characteristics and Survival Outcomes in Neuroblastoma With Bone Metastasis Based on SEER Database Analysis.基于监测、流行病学和最终结果(SEER)数据库分析的神经母细胞瘤骨转移的临床特征和生存结果
Front Oncol. 2021 Jun 1;11:677023. doi: 10.3389/fonc.2021.677023. eCollection 2021.
5
Molecular targeting therapies for neuroblastoma: Progress and challenges.神经母细胞瘤的分子靶向治疗:进展与挑战。
Med Res Rev. 2021 Mar;41(2):961-1021. doi: 10.1002/med.21750. Epub 2020 Nov 6.
6
The efficacy and complications of computed tomography guided microwave ablation in lung cancer.计算机断层扫描引导下微波消融治疗肺癌的疗效及并发症
Ann Palliat Med. 2020 Sep;9(5):2760-2765. doi: 10.21037/apm-20-255. Epub 2020 Jul 30.
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Microwave Ablation in Primary Lung Malignancies.原发性肺恶性肿瘤的微波消融术
Semin Intervent Radiol. 2019 Oct;36(4):326-333. doi: 10.1055/s-0039-1700567. Epub 2019 Oct 31.
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