Chiang Pi-Ling, Yang Johnson Chia-Shen, Chou Chih-Chi, Lin Wei-Che
Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123 Ta- Pei Road, Niao-Sung, Kaohsiung, 83305, Taiwan.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Eur Arch Otorhinolaryngol. 2025 Apr 30. doi: 10.1007/s00405-025-09398-6.
Lipomas, common benign tumors, may cause discomfort and cosmetic concerns. Radiofrequency ablation (RFA) and microwave ablation (MWA) is a minimally invasive treatment gaining popularity. This report examines the efficacy of RFA and MWA in treating neck lipomas. Two cases of RFA and MWA for neck lipomas were evaluated over 6 months. RFA achieved 53% volume reduction with partial ablation, while MWA resulted in remarkable reductions (81%, 86%, and 90% at 1, 3, and 6 months). Thermal ablation techniques are possibly used for managing lipomas. MWA is a more effective and safer minimally invasive option for treating neck lipomas compared to RFA, offering significant volume reduction and potential for broader clinical application.
脂肪瘤是常见的良性肿瘤，可能会引起不适和美观问题。射频消融（RFA）和微波消融（MWA）是一种越来越受欢迎的微创治疗方法。本报告探讨了RFA和MWA治疗颈部脂肪瘤的疗效。对2例采用RFA和MWA治疗颈部脂肪瘤的患者进行了6个月的评估。RFA通过部分消融使体积缩小了53%，而MWA则导致显著缩小（在1、3和6个月时分别为81%、86%和90%）。热消融技术可能用于治疗脂肪瘤。与RFA相比，MWA是一种治疗颈部脂肪瘤更有效、更安全的微创选择，能显著减少体积，并具有更广泛的临床应用潜力。
