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Erschienen in: La radiologia medica 6/2015

01.06.2015 | VASCULAR AND INTERVENTIONAL RADIOLOGY

Clinical outcome of percutaneous RF-ablation of non-operable patients with liver metastasis from breast cancer

verfasst von: Iben Kümler, Vibeke Kirk Parner, Malgorzata K. Tuxen, Bjørn Skjoldbye, Magnus Bergenfeldt, Knud Mejer Nelausen, Dorte Lisbet Nielsen

Erschienen in: La radiologia medica | Ausgabe 6/2015

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Abstract

Purpose

Despite improved anti-neoplastic treatment the prognosis for patients with liver metastases from metastatic breast cancer remains poor.

Materials and methods

Thirty-two consecutive patients with metastatic breast cancer treated with radiofrequency ablation (RFA) at the Department of Oncology, Herlev Hospital, University of Copenhagen, from 1996 to 2010.

Results

Time to intrahepatic progression was median 11 months (range 1.6–184 months). Median survival after first RFA was 33.5 months. Survival at 1, 2 and 3 years was 87, 68 and 48 %, respectively. The local recurrence rate was 22 %.

Conclusions

In this small, highly selected cohort we found RFA safe and efficacious with a low local recurrence rate and a median survival above that expected with systemic treatment. Our data are in line with previous studies and underscore the need for a large prospective study using optimal chemotherapy regimens and RFA/surgery to clarify whether intense treatment protocols can prolong survival for certain patient groups.
Literatur
1.
Zurück zum Zitat Insa A, Lluch A, Prosper F et al (1999) Prognostic factors predicting survival from first recurrence in patients with metastatic breast cancer: analysis of 439 patients. Breast Cancer Res Treat 56:67–78CrossRefPubMed Insa A, Lluch A, Prosper F et al (1999) Prognostic factors predicting survival from first recurrence in patients with metastatic breast cancer: analysis of 439 patients. Breast Cancer Res Treat 56:67–78CrossRefPubMed
2.
Zurück zum Zitat Atalay G, Biganzoli L, Renard F et al (2003) Clinical outcome of breast cancer patients with liver metastases alone in the anthracycline-taxane era: a retrospective analysis of two prospective, randomised metastatic breast cancer trials. Eur J Cancer 39:2439–2449CrossRefPubMed Atalay G, Biganzoli L, Renard F et al (2003) Clinical outcome of breast cancer patients with liver metastases alone in the anthracycline-taxane era: a retrospective analysis of two prospective, randomised metastatic breast cancer trials. Eur J Cancer 39:2439–2449CrossRefPubMed
3.
Zurück zum Zitat Kuru B, Camlibel M, Dinc S et al (2008) Prognostic factors for survival in breast cancer patients who developed distant metastasis subsequent to definitive surgery. Singap Med J 49:904–911 Kuru B, Camlibel M, Dinc S et al (2008) Prognostic factors for survival in breast cancer patients who developed distant metastasis subsequent to definitive surgery. Singap Med J 49:904–911
4.
Zurück zum Zitat Solomayer EF, Diel IJ, Meyberg GC et al (2000) Metastatic breast cancer: clinical course, prognosis and therapy related to the first site of metastasis. Breast Cancer Res Treat 59:271–278CrossRefPubMed Solomayer EF, Diel IJ, Meyberg GC et al (2000) Metastatic breast cancer: clinical course, prognosis and therapy related to the first site of metastasis. Breast Cancer Res Treat 59:271–278CrossRefPubMed
6.
Zurück zum Zitat Hoe AL, Royle GT, Taylor I (1991) Breast liver metastases–incidence, diagnosis and outcome. J R Soc Med 84:714–716PubMedCentralPubMed Hoe AL, Royle GT, Taylor I (1991) Breast liver metastases–incidence, diagnosis and outcome. J R Soc Med 84:714–716PubMedCentralPubMed
9.
Zurück zum Zitat van Persijn, van Meerten EL, Gelderblom H, Bloem JL (2010) RECIST revised: implications for the radiologist: a review article on the modified RECIST guideline. Eur Radiol 20:1456–1467. doi:10.1007/s00330-009-1685-y van Persijn, van Meerten EL, Gelderblom H, Bloem JL (2010) RECIST revised: implications for the radiologist: a review article on the modified RECIST guideline. Eur Radiol 20:1456–1467. doi:10.​1007/​s00330-009-1685-y
10.
Zurück zum Zitat Ahmed M, Solbiati L, Brace CL et al for the International Working Group on image-guided tumor ablation; Interventional Oncology Sans Frontières Expert Panel; Technology Assessment Committee of the Society of Interventional Radiology; Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe (2014) Image-guided tumor ablation: standardization of terminology and reporting criteria: a 10-year update. Radiology 273:241–260. doi:10.1148/radiol.14132958 CrossRef Ahmed M, Solbiati L, Brace CL et al for the International Working Group on image-guided tumor ablation; Interventional Oncology Sans Frontières Expert Panel; Technology Assessment Committee of the Society of Interventional Radiology; Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe (2014) Image-guided tumor ablation: standardization of terminology and reporting criteria: a 10-year update. Radiology 273:241–260. doi:10.​1148/​radiol.​14132958 CrossRef
12.
Zurück zum Zitat Mosconi P, Colozza M, De Laurentiis M et al (2001) Survival, quality of life and breast cancer. Ann Oncol 12(Suppl 3):S15–S19CrossRefPubMed Mosconi P, Colozza M, De Laurentiis M et al (2001) Survival, quality of life and breast cancer. Ann Oncol 12(Suppl 3):S15–S19CrossRefPubMed
15.
Zurück zum Zitat Pentheroudakis G, Fountzilas G, Bafaloukos D et al (2006) Metastatic breast cancer with liver metastases: a registry analysis of clinicopathologic, management and outcome characteristics of 500 women. Breast Cancer Res Treat 97:237–244. doi:10.1007/s10549-005-9117-4 CrossRefPubMed Pentheroudakis G, Fountzilas G, Bafaloukos D et al (2006) Metastatic breast cancer with liver metastases: a registry analysis of clinicopathologic, management and outcome characteristics of 500 women. Breast Cancer Res Treat 97:237–244. doi:10.​1007/​s10549-005-9117-4 CrossRefPubMed
18.
Zurück zum Zitat Vigano L, Ferrero A, Lo Tesoriere R, Capussotti L (2008) Liver surgery for colorectal metastases: results after 10 years of follow-up. Long-term survivors, late recurrences, and prognostic role of morbidity. Ann Surg Oncol 15:2458–2464. doi:10.1245/s10434-008-9935-9 CrossRefPubMed Vigano L, Ferrero A, Lo Tesoriere R, Capussotti L (2008) Liver surgery for colorectal metastases: results after 10 years of follow-up. Long-term survivors, late recurrences, and prognostic role of morbidity. Ann Surg Oncol 15:2458–2464. doi:10.​1245/​s10434-008-9935-9 CrossRefPubMed
20.
24.
Zurück zum Zitat Tasci Y, Aksoy E, Taskin HE et al (2013) A comparison of laparoscopic radiofrequency ablation versus systemic therapy alone in the treatment of breast cancer metastasis to the liver. HPB (Oxford) 15:789–793. doi:10.1111/hpb.12133 CrossRef Tasci Y, Aksoy E, Taskin HE et al (2013) A comparison of laparoscopic radiofrequency ablation versus systemic therapy alone in the treatment of breast cancer metastasis to the liver. HPB (Oxford) 15:789–793. doi:10.​1111/​hpb.​12133 CrossRef
Metadaten
Titel
Clinical outcome of percutaneous RF-ablation of non-operable patients with liver metastasis from breast cancer
verfasst von
Iben Kümler
Vibeke Kirk Parner
Malgorzata K. Tuxen
Bjørn Skjoldbye
Magnus Bergenfeldt
Knud Mejer Nelausen
Dorte Lisbet Nielsen
Publikationsdatum
01.06.2015
Verlag
Springer Milan
Erschienen in
La radiologia medica / Ausgabe 6/2015
Print ISSN: 0033-8362
Elektronische ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-014-0489-6

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