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Computed tomography-guided cryoablation of local recurrence after primary resection of pancreatic adenocarcinoma

Pusceddu, Claudio and Melis, Luca and Sotgia, Barbara and Fancellu, Alessandro and Meloni, Giovanni Battista (2015) Computed tomography-guided cryoablation of local recurrence after primary resection of pancreatic adenocarcinoma. Clinics and practice, Vol. 5 (2), p. 50-52. ISSN 2039-7275. Article.

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DOI: 10.4081/cp.2015.741

Abstract

The optimal management of local recurrences after primary resection of pancreatic cancer still remains to be clarified. A 58-year-old woman developed an isolated recurrence of pancreatic cancer six year after distal pancreatectomy. Re-resection was attempted but the lesion was deemed unresectable at surgery. Then chemotherapy was administrated without obtaining a reduction of the tumor size nor an improvement of the patient's symptoms. Thus the patient underwent percutaneous cryoablation under computed tomography (CT)-guidance obtaining tumor necrosis and a significant improvement in the quality of life. A CT scan one month later showed a stable lesion with no contrast enhancement. While the use of percutaneous cryoblation has widened its applications in patients with unresectable pancreatic cancer, it has never been described for the treatment of local pancreatic cancer recurrence after primary resection. Percutaneous cryoablation deserves further studies in the multimodality treatment of local recurrence after primary pancreatic surgery.

Item Type:Article
ID Code:11443
Status:Published
Refereed:Yes
Uncontrolled Keywords:Pancreatic cancer, recurrence, percutaneous cryoablation, computed tomography scan
Subjects:Area 06 - Scienze mediche > MED/36 Diagnostica per immagini e radioterapia
Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Medicina Clinica e Sperimentale
Publisher:Pagepress
ISSN:2039-7275
Copyright Holders:© C. Pusceddu et al., 2015; Licensee PAGEPress
Deposited On:20 Oct 2016 13:42

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