Assuntos
Falso Aneurisma , Procedimentos Cirúrgicos do Sistema Biliar , Embolização Terapêutica , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/etiologia , Falso Aneurisma/terapia , Ductos Biliares , Embolização Terapêutica/efeitos adversos , Artéria Hepática/diagnóstico por imagem , HumanosRESUMO
Surgical curettage is currently the standard of care for the chondroblastoma, but in peri-articular tumors it is limited by its morbidity. In this preliminary report, we evaluate the feasibility of percutaneous cryotherapy as an alternative ablative treatment for chondroblastoma. Three patients with a chondroblastoma treated by CT scan-guided cryotherapy are presented in this article. Pain permanently disappeared 2 days after the procedure. No local tumor recurrence or cartilage damage was observed by MRI performed 1 year after the intervention. This preliminary case report suggests that percutaneous cryotherapy may be a possible alternative to the current standard of care in chondroblastoma. Further studies are needed to evaluate if this technique offers similar anti-tumoral efficacy while providing better pain relief and less morbidity than curettage.
Assuntos
Neoplasias Ósseas/terapia , Condroblastoma/terapia , Crioterapia/métodos , Adolescente , Osso e Ossos/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Joelho/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Masculino , Radiografia Intervencionista/métodos , Tomografia Computadorizada por Raios X/métodosRESUMO
Percutaneous tumor ablations are rather safe and effective treatments in selected patients for non-operable non-small cell lung carcinomas or lung metastases. However, there are major complications such as bronchopleural or bronchocutaneous fistula, which it is important to know in order to manage them safely. We describe in this report a case of bronchocutaneous fistula without pneumothorax following a microwave ablation of a recurrent pulmonary metastasis and its management.