THERMAL ABLATION (RFA & MICROWAVE) OF LUNG METASTASIS
What is lung metastasis:
  • Lung metastasis is tumour spread into lung. It may be single or multiple.
  • It is one of the common locations of tumour spread. It is commonly seen in kidney tumour, breast cancer, intestine cancer etc.
How they are treated:
  • There are various options like surgery, chemotherapy or percutaneous ablation (RFA/MWA). 
  • Radiofrequency ablation (RFA) and microwave ablation (MWA) are treatments that use image guidance to place a needle through the skin into a tumor within the chest. 
How ablation therapy worked:
  • In RFA, high-frequency electrical currents are passed through an electrode, creating a small region of heat. 
  • In MWA, microwaves are transmitted through the needle to create a small region of heat. 
  • The heat destroys the lung cancer cells. 
  • RFA and MWA may be used to treat lung tumors or provide palliative care. 
Why it preferred over traditional methods:
  • It is effective as well as safer minimally invasive technique.
  • As procedure done through small pinhole, recovery is fast with less complication.
  • They are effective treatment options for patients who might have difficulty with surgery and for those for whom surgery is not an option due to the spread of a tumor to the lungs from the primary tumor or cancers outside the chest.
Preparation for procedure:
  • Few basic blood investigations like CBC, PT/INR, viral markers.
  • Bring all the records including imaging record.
  • Signing consent form.

 

What are risks:
  • Very rare, includes bleeding, pneumothorax, chest pain (<1 case in 1000).

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