Clinical observation of radiofrequency ablation in breast-conserving surgery after neoadjuvant chemotherapy
10.3760/cma.j.issn.1673-4203.2020.01.007
- VernacularTitle: 新辅助化疗后乳腺癌保乳手术中射频消融治疗的临床观察
- Author:
Daqing ZHANG
1
;
Huiming ZHANG
;
Zhicheng GE
;
Zihan WANG
;
Yinguang GAO
;
Guoxuan GAO
;
Hui WANG
;
Zhu YUAN
;
Zhongtao ZHANG
;
Xiang QU
Author Information
1. Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center for Digestive Diseases, Beijing 100050, China
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Radiofrequency ablation;
Neoadjuvant chemotherapy;
Breast-conserving surgery;
Local control;
Treatment outcome
- From:
International Journal of Surgery
2020;47(1):31-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of radiofrequency ablation in breast-conserving surgery followed neoadjuvant chemotherapy.
Methods:Retrospective analysis of 30 cases of breast cancer patients admitted to Beijing Friendship Hospital, Capital Medical University from April 2015 to September 2018. The average age was 54.3 years and the range was 28 to 70 years. For breast invasive ductal cancer, patients underwent breast-conserving surgery after neoadjuvant chemotherapy, and then received radiofrequency ablation. The clinical and pathological characteristics, postoperative complications, recurrence and metastasis, and cosmetic effects were observed.
Results:All 30 patients with breast-conserving surgery successfully completed radiofrequency ablation. The average outpatient follow-up was 22.5 months, ranging from 2 to 43 months, without local recurrence or metastasis; skin burns occurred in 2 cases (6.67%), and solid nodules formed in situ in 6 cases (20.00%); cosmetic satisfaction rate was 86.67% (26/30).
Conclusions:The radiofrequency ablation techniques applied in breast-conserving surgery have a high rate of technical success with relative low complication rates. And the radiofrequency ablation techniques may improve the cosmetic results after breast-conserving surgery and enhance local control.