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Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm

Background and Objective: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. Materials and Methods: This retrospective study reviewed eight patients with benign soft tissue neoplasm presenting with cosmetic concerns and/or...

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Autores principales: Lin, Wei-Che, Tai, Yi-Fan, Chen, Meng-Hsiang, Luo, Sheng-Dean, Huang, Faye, Chen, Wei-Chih, Chiang, Pi-Ling, Chen, Hsiu-Ling, Chen, Mei-Hsiu, Baek, Jung-Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8402204/
https://www.ncbi.nlm.nih.gov/pubmed/34441036
http://dx.doi.org/10.3390/medicina57080830
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author Lin, Wei-Che
Tai, Yi-Fan
Chen, Meng-Hsiang
Luo, Sheng-Dean
Huang, Faye
Chen, Wei-Chih
Chiang, Pi-Ling
Chen, Hsiu-Ling
Chen, Mei-Hsiu
Baek, Jung-Hwan
author_facet Lin, Wei-Che
Tai, Yi-Fan
Chen, Meng-Hsiang
Luo, Sheng-Dean
Huang, Faye
Chen, Wei-Chih
Chiang, Pi-Ling
Chen, Hsiu-Ling
Chen, Mei-Hsiu
Baek, Jung-Hwan
author_sort Lin, Wei-Che
collection PubMed
description Background and Objective: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. Materials and Methods: This retrospective study reviewed eight patients with benign soft tissue neoplasm presenting with cosmetic concerns and/or symptomatic issues who refused surgery. Six patients had vascular malformation, including four with venous malformation and two with congenital hemangioma. The other two patients had neurofibroma. All patients underwent RFA using the moving-shot technique. Imaging and clinical follow-up were performed in all patients. Follow-up image modalities included ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging. The volume reduction ratio (VRR), cosmetic scale (CS), and complications were evaluated. Results: Among the seven patients having received single-stage RFA, there were significant volume reductions between baseline (33.3 ± 21.2 cm(3)), midterm follow-up (5.1 ± 3.8 cm(3), p = 0.020), and final follow-up (3.6 ± 1.4 cm(3), p = 0.022) volumes. The VRR was 84.5 ± 9.2% at final follow-up. There were also significant improvements in the CS (from 3.71 to 1.57, p = 0.017). The remaining patient, in the process of a scheduled two-stage RFA, had a 33.8% VRR after the first RFA. The overall VRR among the eight patients was 77.5%. No complications or re-growth of the targeted lesions were noted during the follow-up period. Of the eight patients, two received RFA under local anesthesia, while the other six patients were under general anesthesia. Conclusions: RFA using the moving-shot technique is an effective, safe, and minimally invasive treatment for benign soft tissue neoplasms, achieving mass volume reduction within 6 months and significant esthetic improvement, either with local anesthesia or with general anesthesia under certain conditions.
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spelling pubmed-84022042021-08-29 Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm Lin, Wei-Che Tai, Yi-Fan Chen, Meng-Hsiang Luo, Sheng-Dean Huang, Faye Chen, Wei-Chih Chiang, Pi-Ling Chen, Hsiu-Ling Chen, Mei-Hsiu Baek, Jung-Hwan Medicina (Kaunas) Article Background and Objective: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. Materials and Methods: This retrospective study reviewed eight patients with benign soft tissue neoplasm presenting with cosmetic concerns and/or symptomatic issues who refused surgery. Six patients had vascular malformation, including four with venous malformation and two with congenital hemangioma. The other two patients had neurofibroma. All patients underwent RFA using the moving-shot technique. Imaging and clinical follow-up were performed in all patients. Follow-up image modalities included ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging. The volume reduction ratio (VRR), cosmetic scale (CS), and complications were evaluated. Results: Among the seven patients having received single-stage RFA, there were significant volume reductions between baseline (33.3 ± 21.2 cm(3)), midterm follow-up (5.1 ± 3.8 cm(3), p = 0.020), and final follow-up (3.6 ± 1.4 cm(3), p = 0.022) volumes. The VRR was 84.5 ± 9.2% at final follow-up. There were also significant improvements in the CS (from 3.71 to 1.57, p = 0.017). The remaining patient, in the process of a scheduled two-stage RFA, had a 33.8% VRR after the first RFA. The overall VRR among the eight patients was 77.5%. No complications or re-growth of the targeted lesions were noted during the follow-up period. Of the eight patients, two received RFA under local anesthesia, while the other six patients were under general anesthesia. Conclusions: RFA using the moving-shot technique is an effective, safe, and minimally invasive treatment for benign soft tissue neoplasms, achieving mass volume reduction within 6 months and significant esthetic improvement, either with local anesthesia or with general anesthesia under certain conditions. MDPI 2021-08-17 /pmc/articles/PMC8402204/ /pubmed/34441036 http://dx.doi.org/10.3390/medicina57080830 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lin, Wei-Che
Tai, Yi-Fan
Chen, Meng-Hsiang
Luo, Sheng-Dean
Huang, Faye
Chen, Wei-Chih
Chiang, Pi-Ling
Chen, Hsiu-Ling
Chen, Mei-Hsiu
Baek, Jung-Hwan
Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
title Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
title_full Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
title_fullStr Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
title_full_unstemmed Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
title_short Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
title_sort ultrasound-guided moving shot radiofrequency ablation of benign soft tissue neoplasm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8402204/
https://www.ncbi.nlm.nih.gov/pubmed/34441036
http://dx.doi.org/10.3390/medicina57080830
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