Taqi Kadhim, Stockley Cecily, Wood Melissa, Przybojewski Stefan, Bouchard-Fortier Antoine, Mack Lloyd
Division of Surgical Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada.
Department of Radiology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada.
Curr Oncol. 2025 Feb 27;32(3):137. doi: 10.3390/curroncol32030137.
The management of desmoid tumors (DTs) often poses challenges due to their variable clinical behavior, with treatment options including active surveillance, systemic therapy, and local therapies including surgery, ablation, and radiation. More recently, cryotherapy has emerged as a promising localized treatment for DTs. We aimed to conduct a review of the indications, techniques, and outcomes of cryotherapy in the treatment of extra-abdominal DTs. The review suggests that cryotherapy can be effectively used for both curative and debulking purposes, with a significant number of patients achieving symptom relief, disease stabilization, or regression. Although generally safe, cryotherapy is associated with potential risks, particularly when critical structures are in proximity. Overall, cryotherapy offers a viable, minimally invasive treatment option for DTs, with favorable outcomes in both symptom relief and tumor control.
韧带样型纤维瘤病(DTs)的管理常常具有挑战性,因为其临床行为多变,治疗选择包括主动监测、全身治疗以及包括手术、消融和放疗在内的局部治疗。最近,冷冻疗法已成为一种有前景的DTs局部治疗方法。我们旨在对冷冻疗法治疗腹外DTs的适应症、技术和结果进行综述。该综述表明,冷冻疗法可有效用于根治性和减瘤目的,大量患者实现了症状缓解、疾病稳定或病情消退。尽管冷冻疗法总体上是安全的,但它存在潜在风险,尤其是在关键结构临近时。总体而言,冷冻疗法为DTs提供了一种可行的、微创的治疗选择,在症状缓解和肿瘤控制方面均有良好效果。