Affiliations 

  • 1 Diagnostic Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
  • 2 Department of Biomedical Imaging, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia
  • 3 Radiation Oncology Unit, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy
  • 4 Division of Pathological Anatomy, University of Florence, Florence, Italy
  • 5 Breast Surgery Unit, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy
  • 6 Anesthesia Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
Biomed Res Int, 2018;2018:9141746.
PMID: 29992167 DOI: 10.1155/2018/9141746

Abstract

Background and Objectives: Breast-conserving surgery represents the standard of care for the treatment of small breast cancers. However, there is a population of patients who cannot undergo the standard surgical procedures due to several reasons such as age, performance status, or comorbidity. Our aim was to investigate the feasibility and safety of percutaneous US-guided laser ablation for unresectable unifocal breast cancer (BC).

Methods: Between December 2012 and March 2017, 12 consecutive patients underwent percutaneous US-guided laser ablation as radical treatment of primary inoperable unifocal BC.

Results: At median follow-up of 28.5 months (range 6-51), no residual disease or progression occurred; the overall success rate for complete tumor ablation was therefore 100%. No significant operative side effects were observed, with only 2 (13.3%) experiencing slight to mild pain during the procedure, and all patients complained of a mild dull aching pain in the first week after procedure.

Conclusions: Laser ablation promises to be a safe and feasible approach in those patients who are not eligible to the standard surgical approach. However, longer follow-up results and larger studies are strongly needed.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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