Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer

Objective. The aim of our research is to explore the clinical efficacy and safety of CT-guided percutaneous microwave ablation (MWA) for the treatment of lung metastasis from colorectal cancer. Materials and Methods. CT-guided percutaneous MWA was performed in 22 patients (male 14, female 8, mean ag...

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Main Authors: Lin Li, Ketong Wu, Haiyang Lai, Bo Zhang
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2017/9621585
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author Lin Li
Ketong Wu
Haiyang Lai
Bo Zhang
author_facet Lin Li
Ketong Wu
Haiyang Lai
Bo Zhang
author_sort Lin Li
collection DOAJ
description Objective. The aim of our research is to explore the clinical efficacy and safety of CT-guided percutaneous microwave ablation (MWA) for the treatment of lung metastasis from colorectal cancer. Materials and Methods. CT-guided percutaneous MWA was performed in 22 patients (male 14, female 8, mean age: 56.05 ± 12.32 years) with a total of 36 lung metastatic lesions from colorectal cancer between February 2014 and May 2017. Clinical data were retrospectively analyzed with respect to the efficacy, safety, and outcome. Results. Of the 36 lesions, 34 lesions (94.4%) reduced obviously with small cavitations or fibrous stripes formed and had no evidence of recurrence during follow-up. The volume of the other 2 lesions demonstrated local progression after 6 months by follow-up CT. The primary complications included pneumothorax (28%), chest pain (21%), and fever (5%). These symptoms and signs were obviously relieved or disappeared after several-day conservative treatment. The mean follow-up of the patients was 25.54 ± 12.58 months (range 2–41 months). The estimated progression-free survival rate was 94.4%. Conclusion. Our results demonstrate that CT-guided percutaneous MWA appears to be an effective, reliable, and minimally invasive method for the treatment of lung metastasis from colorectal cancer. This trial is registered with ChiCTR-ORC-17012904.
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spelling doaj-art-c63c080a3e8345a5b133dfe8ea8800742025-02-03T01:13:14ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/96215859621585Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal CancerLin Li0Ketong Wu1Haiyang Lai2Bo Zhang3Department of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, ChinaDepartment of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, ChinaDepartment of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, ChinaDepartment of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, ChinaObjective. The aim of our research is to explore the clinical efficacy and safety of CT-guided percutaneous microwave ablation (MWA) for the treatment of lung metastasis from colorectal cancer. Materials and Methods. CT-guided percutaneous MWA was performed in 22 patients (male 14, female 8, mean age: 56.05 ± 12.32 years) with a total of 36 lung metastatic lesions from colorectal cancer between February 2014 and May 2017. Clinical data were retrospectively analyzed with respect to the efficacy, safety, and outcome. Results. Of the 36 lesions, 34 lesions (94.4%) reduced obviously with small cavitations or fibrous stripes formed and had no evidence of recurrence during follow-up. The volume of the other 2 lesions demonstrated local progression after 6 months by follow-up CT. The primary complications included pneumothorax (28%), chest pain (21%), and fever (5%). These symptoms and signs were obviously relieved or disappeared after several-day conservative treatment. The mean follow-up of the patients was 25.54 ± 12.58 months (range 2–41 months). The estimated progression-free survival rate was 94.4%. Conclusion. Our results demonstrate that CT-guided percutaneous MWA appears to be an effective, reliable, and minimally invasive method for the treatment of lung metastasis from colorectal cancer. This trial is registered with ChiCTR-ORC-17012904.http://dx.doi.org/10.1155/2017/9621585
spellingShingle Lin Li
Ketong Wu
Haiyang Lai
Bo Zhang
Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer
Gastroenterology Research and Practice
title Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer
title_full Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer
title_fullStr Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer
title_full_unstemmed Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer
title_short Clinical Application of CT-Guided Percutaneous Microwave Ablation for the Treatment of Lung Metastasis from Colorectal Cancer
title_sort clinical application of ct guided percutaneous microwave ablation for the treatment of lung metastasis from colorectal cancer
url http://dx.doi.org/10.1155/2017/9621585
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AT ketongwu clinicalapplicationofctguidedpercutaneousmicrowaveablationforthetreatmentoflungmetastasisfromcolorectalcancer
AT haiyanglai clinicalapplicationofctguidedpercutaneousmicrowaveablationforthetreatmentoflungmetastasisfromcolorectalcancer
AT bozhang clinicalapplicationofctguidedpercutaneousmicrowaveablationforthetreatmentoflungmetastasisfromcolorectalcancer