metricas
covid
Buscar en
Radiología (English Edition)
Toda la web
Inicio Radiología (English Edition) Ultrasound-guided cryoablation: Our experience in percutaneous treatment as an a...
Journal Information
Vol. 66. Issue 3.
Pages 228-235 (May - June 2024)
Share
Share
Download PDF
More article options
Visits
30
Vol. 66. Issue 3.
Pages 228-235 (May - June 2024)
Original articles
Ultrasound-guided cryoablation: Our experience in percutaneous treatment as an alternative to surgery for fibroadenomas of the breast lesions
Crioablación guiada con ecografía: tratamiento percutáneo alternativo a la cirugía en las lesiones fibroadenomatosas de la mama, nuestra experiencia
Visits
30
T. Díaz de Bustamante Durbán
Corresponding author
tesabus@gmail.com

Corresponding author.
, M.J. Roca Navarro, Y. Navarro Monforte, D. Garrido Alonso, F. García Martínez, M.V. Córdoba Chicote, J.M. Oliver Goldaracena
Servicio de Radiodiagnóstico, Unidad de Patología Mamaria, Hospital Universitario La Paz, Madrid, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (6)
Show moreShow less
Tables (2)
Table 1. Twelve patients with fibroadenomas treated with cryoablation.
Table 2. Follow-up: volume reduction.
Show moreShow less
Abstract
Objectives

To review the tolerance to and medium-term efficacy of ultrasound-guided cryoablation as an alternative to surgical treatment of fibroadenomas of the breast in our hospital.

Methods

We analyzed data from the 12 patients with fibroadenomas treated with ultrasound-guided cryoablation in our hospital between November 2020 and July 2022. Cryoablation was performed with a system using argon gas (Galil Boston Scientific®) or liquid nitrogen (Prosense Ice Cure®) following a triple-phase (freeze-thaw-freeze) protocol of variable duration depending on the size of the lesion. Patients were followed up with ultrasonography at 3, 6, 12, and 18 months.

Results

All patients tolerated the procedure well. Two patients reported moderate pain in the hours immediately after the procedure; no other complications occurred. The findings during follow-up included decreased volume of the fibroadenoma (47.07% at 3 months, 77.79% at 6 months, 81.77% at 12 months, and 88.81% at 18 months), blurring of the nodule’s margins, a significantly reduced or absent signal within the lesion in the Doppler study, an echogenic band (representing edema, hemorrhage, and fat necrosis), and hypoechoic areas suggestive of fibrosis surrounding the fibroadenoma.

Conclusions

Cryoablation is done on an outpatient basis, avoiding general anesthesia, thus making it less expensive. Cryoablation yields better cosmetic results than surgery.

Keywords:
Ultrasound-guided cryoablation
Ablation technique
Cryotherapy
Breast
Fibroadenoma
Resumen
Objetivos

Revisar la tolerancia y la eficacia a medio plazo de la crioablación guiada con ecografía realizada como tratamiento alternativo a la cirugía en lesiones fibroadenomatosas de mama en nuestro hospital.

Método

Se recogieron de los archivos los datos de las 12 pacientes con fibroadenomas tratados con crioablación guiada con ecografía entre noviembre 2020 y julio 2022 en nuestro hospital. Para la crioablación se utilizaron los sistemas Galil Boston Scientific® con gas argón y Prosense Ice Cure® con nitrógeno líquido, con protocolo triple fase (congelación-descongelación-congelación) de duración variable dependiendo del tamaño de la lesión. Se hizo el seguimiento con ecografías, la primera a los 3 meses del procedimiento y posteriomente semestrales hasta los 18 meses.

Resultados

Todas las pacientes toleraron bien el procedimiento, dos de ellas refirieron dolor moderado en las horas siguientes, no hubo ninguna otra complicación. Los hallazgos en el seguimiento fueron: disminución del volumen del fibroadenoma (del 47,07% a los 3 meses, 77,79% a los 6 meses,81,77% a los 12 meses y 88,81% a los 18 meses), peor definición de los márgenes del nódulo, disminución significativa o desaparición del flujo en el estudio Doppler en la lesión, una banda ecogénica (que representaba edema, hemorragia y necrosis grasa) y zonas hipoecoicas sugerentes de fibrosis rodeando el fibroadenoma.

Conclusiones

La crioablación se realiza de forma ambulatoria, evita una anestesia general es menos costosa y tiene mejor resultado cosmético.

Palabras clave:
Crioablación guiada por ultrasonidos
Técnica de ablación
Crioterapia
Mama
Fibroadenoma

Article

These are the options to access the full texts of the publication Radiología (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
10.1016/j.rxeng.2023.03.002
No mostrar más