INITIAL RESULTS OF RADIOFREQUENCY ABLATION IN THE TREATMENT OF PULMONARY METASTASES

Lê Thanh Dũng1, Vũ Tiến Thế2, Vũ Hoài Linh1, Đào Xuân Hải1, Thân Văn Sỹ1
1 Vietnam-Germany Friendship Hospital
2 Ninh Binh General Hospital

Main Article Content

Abstract

Purpose: To evaluate the effectiveness of radiofrequency ablation (RFA) in the treatment of pulmonary metastases. Materials and methods: a non-randomized controlled study on 20 patients with 25 lung metastases treated with RFA at Viet Duc Friendship Hospital from January 2019 to July 2021 with follow-up period within 6 months after treatment. Results: There were 9 men and 11 women (mean age of 53.05 ± 14.7; range, 16 – 71). The mean diameter of the lesions was 14.5±5.9 mm (range, 6-30). RFA was performed with thermal electrode (17G, 3cm tip) with the length of 20mm for lesions under 10mm or 30mm for lesions over 10mm. The tumor response was evaluated based on mRECIST with 92% complete necrosis, 8% partial necrosis. Complications after treatment included fever (69%), chest pain (73%), dyspnea (15.4%), mild hemoptysis (11%), mild pneumothorax (11%), chest wall inflammation (3.8%) and mild effusion (3.8%). Conclusion: RFA is a safe and effective method for the treatment of pulmonary metastases with a high complete response and a low complication rate.

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References

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