Ablation techniques as treatment in patients with breast cancer
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Published:
Jan 5, 2023
Keywords:
Breast cancer, evolution, breast neoplasms, ablation techniques, treatment.
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Abstract
Introduction: The most frequently diagnosed malignancy worldwide is breast cancer. There are new minimally invasive therapeutic alternatives thanks to technological innovations, such as cryoablation, radiofrequency ablation and microwave ablation, which have given satisfactory results. Objective: Describe ablation techniques as treatment in patients with breast cancer. Methodology: A non-experimental narrative study was conducted, with a bibliographic review. Articles in English and Spanish from the last five years were used. Results: The ablation techniques were described; in what type of patients, they were used and what was the efficacy of the ablation techniques as a treatment in patients with breast cancer in a clearer way and with more updated bibliography. Conclusions: Ablation techniques have a high efficacy as a treatment in patients with early-stage breast cancer, especially in young women and women of childbearing age. These satisfactory results were better observed in tumors less than or equal to 2 cm, in tumors greater than 2 cm the results take time to appear.
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Muñoz Arteaga, M. V., Bojorque Bojorque, L. M., Tebanta Albán, D. N., & Armijos Ayala, A. D. (2023). Ablation techniques as treatment in patients with breast cancer. Ciencia Digital, 7(1), 20-41. https://doi.org/10.33262/cienciadigital.v7i1.2422
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References
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Cui, R., Wu, H., Xu, J., Han, Z., Zhang, J., Li, Q., . . . Liang, P. (2021). Volume reduction for ≥2 cm benign breast lesions after ultrasound-guided microwave ablation with a minimum 12-month follow-up. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 38(1), 341-348. https://doi.org/10.1080/02656736.2020.1845401
García-Tejedor, A., Guma, A., Soler, T., Valdivieso, A., Petit, A., Contreras, N., . . . Ponce, J. (2018). Radiofrequency Ablation Followed by Surgical Excision versus Lumpectomy for Early-Stage Breast Cancer: A Randomized Phase II Clinical Trial. Radiology, 289(2), 317-324. https://doi.org/10.1148/radiol.2018180235
Holmes, R. (2020). Breast cancer care during a pandemic: an opportune time for cryoablation? Breast cancer research and treatment, 182(3), 515-521. https://doi.org/10.1007/s10549-020-05724-0
Ito, T., Oura, S., Nagamine, S., Takahashi, M., Yamamoto, N., Yamamichi, N., Earashi, M., Doihara, H., Imoto, S., Mitsuyama, S., & Akazawa, K. (2018). Radiofrequency Ablation of Breast Cancer: A Retrospective Study. Clinical breast cancer, 18(4), e495–e500. https://doi.org/10.1016/j.clbc.2017.09.007
Imankulov, S., Tuganbekov, T., Razbadauskas, A., & Seidagaliyeva, Z. (2018). HIFU treatment for fibroadenoma - a clinical study at National Scientific Research Centre, Astana, Kazakhstan. JPMA. The Journal of the Pakistan Medical Association, 68(9), 1378-1380.
Kwak, K., Yu, B., Lewandowski, R. J., & Kim, D. H. (2022). Recent progress in cryoablation cancer therapy and nanoparticles mediated cryoablation. Theranostics, 12(5), 2175-2204. https://doi.org/10.7150/thno.67530
Li, C., Li, C., Ge, H., Liang, M., Ma, G., Ling, L., . . . Wang, S. (2018). Technical analysis of US imaging for precise microwave ablation for benign breast tumors. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 34(8), 1179-1185. https://doi.org/10.1080/02656736.2018.1442589
Li, J., Wang, D.-D., Zhao, Y.-N., Zhou, J.-W., & Tang, J.-H. (2019). Clinical assessment of magnetic resonance imaging-guided radiofrequency ablation for breast cancer. Molecular and clinical oncology, 11(4), 411-415. https://doi.org/10.3892/mco.2019.1905
Mahnken, A. H., König, A. M., & Figiel, J. H. (2018). Current Technique and Application of Percutaneous Cryotherapy. Aktuelle Technik und Anwendung der perkutanen Kryotherapie. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 190(9), 836-846. https://doi.org/10.1055/a-0598-5134
Neira, L. M., Harter, J., Wilke, L. G., Behdad, N., Van Veen, B. D., & Hagness, S. C. (2020). A Pilot Study of the Impact of Microwave Ablation on the Dielectric Properties of Breast Tissue. Sensors (Basel, Switzerland), 20(19), 5698. https://doi.org/10.3390/s20195698
Nief, C., Gonzales, A., Chelales, E., Agudogo, J., Crouch, B., Nair, S., & Ramanujam, N. (2022). Targeting Tumor Acidosis and Regulatory T Cells Unmasks Anti-Metastatic Potential of Local Tumor Ablation in Triple-Negative Breast Cancer. International journal of molecular sciences, 23(15), 8479. https://doi.org/10.3390/ijms23158479
Payne, A., Merrill, R., Minalga, E., Hadley, J. R., Odeen, H., Hofstetter, L. W., . . . & Palussiere, J. (2021). A Breast-Specific MR Guided Focused Ultrasound Platform and Treatment Protocol: First-in-Human Technical Evaluation. IEEE transactions on bio-medical engineering, 68(3), 893-904. https://doi.org/10.1109/TBME.2020.30162
Pusceddu, C., Paliogiannis, P., Nigri, G., & Fancellu, A. (2019). Cryoablation In the Management of Breast Cancer: Evidence to Date. Breast cancer (Dove Medical Press), 11, 283-292. https://doi.org/10.2147/BCTT.S197406
Regen-Tuero, H. C., Ward, R. C., Sikov, W. M., & Littrup, P. J. (2021). Cryoablation and Immunotherapy for Breast Cancer: Overview and Rationale for Combined Therapy. Radiology. Imaging cancer, 3(2), e200134. https://doi.org/10.1148/rycan.2021200134
Siedek, F., Yeo, S. Y., Heijman, E., Grinstein, O., Bratke, G., Heneweer, C., . . . Grüll, H. (2019). Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MR-HIFU): Technical Background and Overview of Current Clinical Applications (Part 1). Magnetresonanz-gesteuerter hochintensiver fokussierter Ultraschall (MR-HIFU): Technische Aspekte und Überbl. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 191(6), 522-530. https://doi.org/10.1055/a-0817-5645
Snyder, K., Van Buskirk, R. G., Baust, J. G., & Baust, J. M. (2020). Breast Cancer Cryoablation: Assessment of the Impact of Fundamental Procedural Variables in an In Vitro Human Breast Cancer Model. Breast cancer: basic and clinical research, 14. https://doi.org/10.1177/1178223420972363
Stachs, A., Johannes, S., Reimer, T., & Hartmann, S. (2019). Benign Breast Disease in Women. Deutsches Arzteblatt international, 116(33-34), 565-574. https://doi.org/10.3238/arztebl.2019.0565
Sun, Y. S., Zhao, Z., Yang, Z. N., Xu, F., Lu, H. J., Zhu, Z. Y., . . . & Zhu, H. P. (2017). Risk Factors and Preventions of Breast Cancer. International journal of biological sciences, 13(11), 1387-1397. https://doi.org/10.7150/ijbs.21635
Trayes, K. P., & Cokenakes, S. E. (2021). Breast Cancer Treatment. American family physician, 104(2), 171-178.
Van de Voort, E. M., Struik, G. M., Birnie, E., Moelker, A., Verhoef, C., & Klem, T. M. (2021a). Thermal Ablation as an Alternative for Surgical Resection of Small (≤ 2 cm) Breast Cancers: A Meta-Analysis. Clinical breast cancer, 21(6), e715–e730. https://doi.org/10.1016/j.clbc.2021.03.004
Van de Voort, E., Struik, G., Koppert, L., Moelker, A., Debets, R., Yo, G., . . . Klem, T. (2021b). Treatment of early-stage breast cancer with percutaneous thermal ablation, an open-label randomized phase 2 screening trial: rationale and design of the THERMAC trial. British Medical Association Open, 11(9), e052992. https://doi.org/10.1136/bmjopen-2021-052992
Vogl, T. J., Nour-Eldin, N. A., Hammerstingl, R. M., Panahi, B., & Naguib, N. N. (2017). Microwave Ablation (MWA): Basics, Technique and Results in Primary and Metastatic Liver Neoplasms - Review Article. Mikrowellenablation (MWA): Grundlagen, Technik und Ergebnisse in primären und sekundären Lebertumoren – Übersichtsarbeit. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 189(11), 1055-1066. https://doi.org/10.1055/s-0043-117410
Xia, L.-Y., Hu, Q.-L., & Xu, W.-Y. (2021). Efficacy and Safety of Radiofrequency Ablation for Breast Cancer Smaller Than 2 cm: A Systematic Review and Meta-Analysis. Frontiers in oncology, 11, 651646. https://doi.org/10.3389/fonc.2021.651646
Xiao, Y., Liang, M., Chen, M., Li, Z., Xia, T., Yue, X., . . . Zhang, C. (2022). Evaluating the learning curve of high intensity focus ultrasound for breast fibroadenoma by CUSUM analysis: a multi-center study. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 39(1), 1238-1244. https://doi.org/10.1080/02656736.2022.2123566
Xu, J., Wu, H., Han, Z., Zhang, J., Li, Q., Dou, J., . . . Liang, P. (2018). Microwave ablation of benign breast tumors: a prospective study with minimum 12 months follow-up. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 35(1), 253-261. https://doi.org/10.1080/02656736.2018.1494340
Yao, R., Hu, J., Zhao, W., Cheng, Y., & Feng, C. (2022). A review of high-intensity focused ultrasound as a novel and non-invasive interventional radiology technique. Journal of interventional medicine, 5(3), 127-132. https://doi.org/10.1016/j.jimed.2022.06.004
Yeo, S. K., & Guan, J.-L. (2017). Breast Cancer: Multiple Subtypes within a Tumor? Trends in cancer, 3(11), 753-760. https://doi.org/10.1016/j.trecan.2017.09.001
Zhang, Y. N., Xia, K. R., Li, C. Y., Wei, B. L., & Zhang, B. (2021). Review of Breast Cancer Pathological Image Processing. BioMed research international, 1994764. https://doi.org/10.1155/2021/1994764
Zhou, W., Yu, M., Pan, H., Qiu, W., Wang, H., Qian, M., . . . Wang, S. (2021). Microwave ablation induces Th1-type immune response with activation of ICOS pathway in early-stage breast cancer. Journal for immunotherapy of cancer, 9(4), e002343. https://doi.org/10.1136/jitc-2021-002343
Brem, F. (2018). Radiofrequency Ablation of Breast Cancer: A Step Forward. Radiology, 289(2), 325-326. https://doi.org/10.1148/radiol.2018181784
Burguin, A., Diorio, C., & Durocher, F. (2021). Breast Cancer Treatments: Updates and New Challenges. Journal of personalized medicine, 11(8), 808. https://doi.org/10.3390/jpm11080808
Cui, R., Wu, H., Xu, J., Han, Z., Zhang, J., Li, Q., . . . Liang, P. (2021). Volume reduction for ≥2 cm benign breast lesions after ultrasound-guided microwave ablation with a minimum 12-month follow-up. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 38(1), 341-348. https://doi.org/10.1080/02656736.2020.1845401
García-Tejedor, A., Guma, A., Soler, T., Valdivieso, A., Petit, A., Contreras, N., . . . Ponce, J. (2018). Radiofrequency Ablation Followed by Surgical Excision versus Lumpectomy for Early-Stage Breast Cancer: A Randomized Phase II Clinical Trial. Radiology, 289(2), 317-324. https://doi.org/10.1148/radiol.2018180235
Holmes, R. (2020). Breast cancer care during a pandemic: an opportune time for cryoablation? Breast cancer research and treatment, 182(3), 515-521. https://doi.org/10.1007/s10549-020-05724-0
Ito, T., Oura, S., Nagamine, S., Takahashi, M., Yamamoto, N., Yamamichi, N., Earashi, M., Doihara, H., Imoto, S., Mitsuyama, S., & Akazawa, K. (2018). Radiofrequency Ablation of Breast Cancer: A Retrospective Study. Clinical breast cancer, 18(4), e495–e500. https://doi.org/10.1016/j.clbc.2017.09.007
Imankulov, S., Tuganbekov, T., Razbadauskas, A., & Seidagaliyeva, Z. (2018). HIFU treatment for fibroadenoma - a clinical study at National Scientific Research Centre, Astana, Kazakhstan. JPMA. The Journal of the Pakistan Medical Association, 68(9), 1378-1380.
Kwak, K., Yu, B., Lewandowski, R. J., & Kim, D. H. (2022). Recent progress in cryoablation cancer therapy and nanoparticles mediated cryoablation. Theranostics, 12(5), 2175-2204. https://doi.org/10.7150/thno.67530
Li, C., Li, C., Ge, H., Liang, M., Ma, G., Ling, L., . . . Wang, S. (2018). Technical analysis of US imaging for precise microwave ablation for benign breast tumors. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 34(8), 1179-1185. https://doi.org/10.1080/02656736.2018.1442589
Li, J., Wang, D.-D., Zhao, Y.-N., Zhou, J.-W., & Tang, J.-H. (2019). Clinical assessment of magnetic resonance imaging-guided radiofrequency ablation for breast cancer. Molecular and clinical oncology, 11(4), 411-415. https://doi.org/10.3892/mco.2019.1905
Mahnken, A. H., König, A. M., & Figiel, J. H. (2018). Current Technique and Application of Percutaneous Cryotherapy. Aktuelle Technik und Anwendung der perkutanen Kryotherapie. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 190(9), 836-846. https://doi.org/10.1055/a-0598-5134
Neira, L. M., Harter, J., Wilke, L. G., Behdad, N., Van Veen, B. D., & Hagness, S. C. (2020). A Pilot Study of the Impact of Microwave Ablation on the Dielectric Properties of Breast Tissue. Sensors (Basel, Switzerland), 20(19), 5698. https://doi.org/10.3390/s20195698
Nief, C., Gonzales, A., Chelales, E., Agudogo, J., Crouch, B., Nair, S., & Ramanujam, N. (2022). Targeting Tumor Acidosis and Regulatory T Cells Unmasks Anti-Metastatic Potential of Local Tumor Ablation in Triple-Negative Breast Cancer. International journal of molecular sciences, 23(15), 8479. https://doi.org/10.3390/ijms23158479
Payne, A., Merrill, R., Minalga, E., Hadley, J. R., Odeen, H., Hofstetter, L. W., . . . & Palussiere, J. (2021). A Breast-Specific MR Guided Focused Ultrasound Platform and Treatment Protocol: First-in-Human Technical Evaluation. IEEE transactions on bio-medical engineering, 68(3), 893-904. https://doi.org/10.1109/TBME.2020.30162
Pusceddu, C., Paliogiannis, P., Nigri, G., & Fancellu, A. (2019). Cryoablation In the Management of Breast Cancer: Evidence to Date. Breast cancer (Dove Medical Press), 11, 283-292. https://doi.org/10.2147/BCTT.S197406
Regen-Tuero, H. C., Ward, R. C., Sikov, W. M., & Littrup, P. J. (2021). Cryoablation and Immunotherapy for Breast Cancer: Overview and Rationale for Combined Therapy. Radiology. Imaging cancer, 3(2), e200134. https://doi.org/10.1148/rycan.2021200134
Siedek, F., Yeo, S. Y., Heijman, E., Grinstein, O., Bratke, G., Heneweer, C., . . . Grüll, H. (2019). Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MR-HIFU): Technical Background and Overview of Current Clinical Applications (Part 1). Magnetresonanz-gesteuerter hochintensiver fokussierter Ultraschall (MR-HIFU): Technische Aspekte und Überbl. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 191(6), 522-530. https://doi.org/10.1055/a-0817-5645
Snyder, K., Van Buskirk, R. G., Baust, J. G., & Baust, J. M. (2020). Breast Cancer Cryoablation: Assessment of the Impact of Fundamental Procedural Variables in an In Vitro Human Breast Cancer Model. Breast cancer: basic and clinical research, 14. https://doi.org/10.1177/1178223420972363
Stachs, A., Johannes, S., Reimer, T., & Hartmann, S. (2019). Benign Breast Disease in Women. Deutsches Arzteblatt international, 116(33-34), 565-574. https://doi.org/10.3238/arztebl.2019.0565
Sun, Y. S., Zhao, Z., Yang, Z. N., Xu, F., Lu, H. J., Zhu, Z. Y., . . . & Zhu, H. P. (2017). Risk Factors and Preventions of Breast Cancer. International journal of biological sciences, 13(11), 1387-1397. https://doi.org/10.7150/ijbs.21635
Trayes, K. P., & Cokenakes, S. E. (2021). Breast Cancer Treatment. American family physician, 104(2), 171-178.
Van de Voort, E. M., Struik, G. M., Birnie, E., Moelker, A., Verhoef, C., & Klem, T. M. (2021a). Thermal Ablation as an Alternative for Surgical Resection of Small (≤ 2 cm) Breast Cancers: A Meta-Analysis. Clinical breast cancer, 21(6), e715–e730. https://doi.org/10.1016/j.clbc.2021.03.004
Van de Voort, E., Struik, G., Koppert, L., Moelker, A., Debets, R., Yo, G., . . . Klem, T. (2021b). Treatment of early-stage breast cancer with percutaneous thermal ablation, an open-label randomized phase 2 screening trial: rationale and design of the THERMAC trial. British Medical Association Open, 11(9), e052992. https://doi.org/10.1136/bmjopen-2021-052992
Vogl, T. J., Nour-Eldin, N. A., Hammerstingl, R. M., Panahi, B., & Naguib, N. N. (2017). Microwave Ablation (MWA): Basics, Technique and Results in Primary and Metastatic Liver Neoplasms - Review Article. Mikrowellenablation (MWA): Grundlagen, Technik und Ergebnisse in primären und sekundären Lebertumoren – Übersichtsarbeit. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 189(11), 1055-1066. https://doi.org/10.1055/s-0043-117410
Xia, L.-Y., Hu, Q.-L., & Xu, W.-Y. (2021). Efficacy and Safety of Radiofrequency Ablation for Breast Cancer Smaller Than 2 cm: A Systematic Review and Meta-Analysis. Frontiers in oncology, 11, 651646. https://doi.org/10.3389/fonc.2021.651646
Xiao, Y., Liang, M., Chen, M., Li, Z., Xia, T., Yue, X., . . . Zhang, C. (2022). Evaluating the learning curve of high intensity focus ultrasound for breast fibroadenoma by CUSUM analysis: a multi-center study. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 39(1), 1238-1244. https://doi.org/10.1080/02656736.2022.2123566
Xu, J., Wu, H., Han, Z., Zhang, J., Li, Q., Dou, J., . . . Liang, P. (2018). Microwave ablation of benign breast tumors: a prospective study with minimum 12 months follow-up. International journal of hyperthermia: the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group, 35(1), 253-261. https://doi.org/10.1080/02656736.2018.1494340
Yao, R., Hu, J., Zhao, W., Cheng, Y., & Feng, C. (2022). A review of high-intensity focused ultrasound as a novel and non-invasive interventional radiology technique. Journal of interventional medicine, 5(3), 127-132. https://doi.org/10.1016/j.jimed.2022.06.004
Yeo, S. K., & Guan, J.-L. (2017). Breast Cancer: Multiple Subtypes within a Tumor? Trends in cancer, 3(11), 753-760. https://doi.org/10.1016/j.trecan.2017.09.001
Zhang, Y. N., Xia, K. R., Li, C. Y., Wei, B. L., & Zhang, B. (2021). Review of Breast Cancer Pathological Image Processing. BioMed research international, 1994764. https://doi.org/10.1155/2021/1994764
Zhou, W., Yu, M., Pan, H., Qiu, W., Wang, H., Qian, M., . . . Wang, S. (2021). Microwave ablation induces Th1-type immune response with activation of ICOS pathway in early-stage breast cancer. Journal for immunotherapy of cancer, 9(4), e002343. https://doi.org/10.1136/jitc-2021-002343