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To evaluate the efficiency of CT-guided radiofrequency ablation to treat pulmonary malignancies
CHEN Shi-lin,XU Lin,ZHANG Qin,FENG Dong-jie,QIN Jin-xia,YAN Xin-yao,LI Yang,SUN Lei,FENG Yong,ZHANG Jin,ZHUANG Yi-ping
2014, 6 (3):
271-274.
doi: 10.3969/j.issn.1674-5671.2014.03.11
Objective To evaluate the safety and therapeutic value of CT-guided radiofrequency ablation (RFA) in the treatment of pulmonary malignancies. Methods A total of 88 patients with lung malignancies, who altogether had 96 lesions, were treated using CT-guided RFA. The cohort included 14 cases of metastatic lung carcinoma and 74 cases of primary non-small cell lung cancer (NSCLC),which comprised various pathological types (23 cases of squamous cell carcinoma,48 adenocarcinoma,2 mixed carcinoma and 1 large cell carcinoma) and tumor sizes(≤3 cm,31 cases;3-5 cm,56 cases;>5 cm,9 cases). Results Lesions in most patients became larger and showed fuzzy edges after RFA;some lesions showed bubble-like changes. Follow-up CT at 6 months showed that all 96 lesions had shrunk, with an overall efficacy of 91.6%. The 1-year local control rate was 88.0%, and the 1-year survival rate was 95.5%. Conclusion CT-guided percutaneous RFA is a safe,effective and minimally invasive therapy for treating pulmonary malignancies.
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