Computed Tomography-Guided Percutaneous Radiofrequency Ablation of Metastatic Lung Nodules-Initial Experience and Outcome in Nonsurgical Candidates

電腦斷層導引經皮射頻燒融術治療肺轉移惡性腫瘤－對不適合外科手術治療的病人的經驗及結果

陳肇長(Siu-Chenung Chan) ； 劉會平(Hui-Ping Liu) ； 朱昭穎(Chiu-Wing Chu) ； 陳子平(Tzu-Ping Chen)

《中華放射線醫學雜誌》 35卷2期 (2010/06) Pp. 97-102

摘要

本論文的重點是為不適合手術治療的肺轉移惡性腫瘤的病人，利用電腦斷層導引經皮進行射頻燒融術的治療經驗及結果。三位女性病人，均為重覆復發性肺轉移的病患。腫瘤的位置，分別在肺頂端，心臟後端及肋膜。在局部麻醉下，使用電腦斷層導引經皮射頻燒融術治療。三病例均沒有出現嚴重的併發症，而在治療後每三個月進行電腦斷層追蹤治療效果。三病例的肺腫瘤都得到有效的控制。因此，電腦斷層導引經皮射頻燒融術，對不適合手術治療的肺轉移惡性腫瘤的病人，是一種低侵犯性及有實效的治療方法。

並列摘要

To report the experience and outcomes of percutaneous computed tomography-guided radiofrequency ablation for nonsurgical candidates with repeat lung metastasis.
This study was carried out on three female patients (age range, 17-36 years; mean age, 24 years) with repeat lung metastasis. The three metastatic nodules were underwent percutaneous computed tomography (CT)-guided radiofrequency ablation (RFA) successfully after administration of local anesthesia. Subsequent CT scans were scheduled 3-month intervals post-procedure to assess the tumor control.
No lethal complications, major bleeding or bronchial damage was observed in all of our patients. Satisfactory tumors control was demonstrated by CT scan at subsequent three-month follow-ups.
CT-guided percutaneous RFA for lung metastasis is one of the treatment options for nonsurgical candidates, with minimal invasion and have achieved satisfactory tumor control.