Percutaneous tumor ablation with radiofrequency

Bradford J. Wood, Jeffrey R. Ramkaransingh, Tito Fojo, McClellan M. Walther, Stephen K. Libutti

Research output: Contribution to journalArticle

138 Scopus citations

Abstract

BACKGROUND. Radiofrequency thermal ablation (RFA) is a new minimally invasive treatment for localized cancer. Minimally invasive surgical options require less resources, time, recovery, and cost, and often offer reduced morbidity and mortality, compared with more invasive methods. To be useful, image-guided, minimally invasive, local treatments will have to meet those expectations without sacrificing efficacy. METHODS. Image-guided, local cancer treatment relies on the assumption that local disease control may improve survival. Recent developments in ablative techniques are being applied to patients with inoperable, small, or solitary liver tumors, recurrent metachronous hereditary renal cell carcinoma, and neoplasms in the bone, lung, breast, and adrenal gland. RESULTS. Recent refinements in ablation technology enable large tumor volumes to be treated with image-guided needle placement, either percutaneously, lapar-scopically, or with open surgery. Local disease control potentially could result in improved survival, or enhanced operability. CONCLUSIONS. Consensus indications in oncology are ill-defined, despite widespread proliferation of the technology. A brief review is presented of the current status of image-guided tumor ablation therapy. More rigorous scientific review, long-term follow-up, and randomized prospective trials are needed to help define the role of RFA in oncology.

Original languageEnglish (US)
Pages (from-to)443-451
Number of pages9
JournalCancer
Volume94
Issue number2
DOIs
StatePublished - Jan 15 2002

Keywords

  • Hyperthermia
  • Minimally invasive therapy
  • Radiofrequency thermal ablation
  • Tumor ablation

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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    Wood, B. J., Ramkaransingh, J. R., Fojo, T., Walther, M. M., & Libutti, S. K. (2002). Percutaneous tumor ablation with radiofrequency. Cancer, 94(2), 443-451. https://doi.org/10.1002/cncr.10234