Cryoablation Combined with Iodine-125 Implantation in the Treatment of Cardiac Metastasis from Alveolar Soft Part Sarcoma: A Case Report
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چکیده
Objectives: A 36-year-old Asian man was referred to our hospital with cardiac metastasis. He had a history of alveolar soft part sarcoma and initially underwent resection in 2005. Methods: After exposing the tumor by thoracotomy, cryoablation was performed under ultrasound guidance. This treatment was combined with iodine-125 seed implantation to treat the cardiac metastasis. Results: The patient had an uneventful recovery, and his cardiac function shows no obvious abnormalities. Imaging techniques suggest that cardiac metastasis was well controlled, and the patient is still alive 12 months after treatment. Conclusions: Tumor cryoablation, combined with iodine seed implantations, may be regarded as a means of palliative treatment. © 2016 The Author(s) Published by S. Karger AG, Basel Received: June 20, 2016 Accepted: August 25, 2016 Published online: November 16, 2016 Kecheng Xu, MD, PhD, Guangzhou Fuda Cancer Hospital Jinan University School of Medicine No. 2, Tangdexi Road, Tianhe District Guangzhou 510665, Guangdong Province (China) E-Mail lxm-vi-p @ 163.com www.karger.com/bmh This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. L.N. and X.L. contributed equally to this article and share first authorship. What Is It about? There is no effective standard systemic treatment for patients with unresectable aveolar soft part sarcoma (ASPS). Therefore, new locoregional and systemic therapies are needed. We present one of the first cases in which a patient with ASPS and cardiac metastases received palliative treatment comprising cryoablation with iodine-125 implantation. Follow-up and 1-year overall survival data indicate that the tumor was significantly controlled, and suggest that this treatment is effective. Further studies are warranted. D ow nl oa de d by : 54 .7 0. 40 .1 1 10 /3 /2 01 7 3: 58 :2 5 P M 2 Biomed Hub 2016;1:449403 ( DOI: 10.1159/000449403 ) Niu et al.: Cryoablation Combined with Iodine-125 Implantation in the Treatment of Cardiac Metastasis from Alveolar Soft Part Sarcoma: A Case Report www.karger.com/bmh © 2016 The Author(s). Published by S. Karger AG, Basel
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تاریخ انتشار 2016