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PISA SYMPOSIUM Radiofrequency Ablation of Inoperable Non-Small Cell Lung Cancer Marcello Carlo Ambrogi, MD, Paolo Dini, MD, Franca Melfi, MD, and Alfredo Mussi, MD (J Thorac Oncol. 2007;2: Suppl 1, 2–3) the administration of contrast material before and after coag- ulation to obtain information about the real effectiveness of the procedure. In a selected group of patients with the tumor adio frequency ablation (RFA) of lung tumors is a rela- in contact with the thoracic wall, it is possible to work under Rtively new procedure allowing local treatment with min- ultrasound guidance. The needle electrode is inserted through imal parenchymal damage. This technique is able to induce an intercostal space after administration of local anesthesia. coagulative necrosis in a limited pulmonary area. This emerg- The correct placement is confirmed by CT or ultrasound ing technology is used to achieve local treatment of primary and before applying the radiofrequency energy. The target tem- secondary lung tumors in patients with poor clinical status or perature of ablation is 90°C. It is maintained for 15 to 27 2,3 technical contraindications to surgical resection. minutes according to the size of the tumor; this variable also determines the gradual deployment of the electrodes, starting
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: May 1, 2007
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