Técnicas de ablación como tratamiento en pacientes con cáncer de mama
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Publicado:
Jan 5, 2023
Palabras clave:
Cáncer de mama, evolución, neoplasias de la mama, técnicas de ablación, tratamiento.
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Resumen
Introducción: La neoplasia maligna diagnosticada con mayor frecuencia en todo el mundo es el cáncer de mama. Existen nuevas alternativas terapéuticas mínimamente invasivas gracias a las innovaciones tecnológicas, como la crio ablación, la ablación por radiofrecuencia y la ablación por microondas, las cuales han dado buenos resultados. Objetivo: Describir las técnicas de ablación como tratamiento en pacientes con cáncer de mama. Metodología: Se realizó un estudio no experimental narrativo, de revisión bibliográfica. Se utilizaron artículos en inglés y en español de los últimos cinco años. Resultados: Se describió cuales son las técnicas de ablación, en qué tipo de pacientes se usaron y cuál fue la eficacia de las técnicas de ablación como tratamiento en pacientes con cáncer de mama, de forma más clara y con bibliografía más actualizada. Conclusiones: Las técnicas de ablación tienen una eficacia alta como tratamiento en pacientes con cáncer de mama en etapa temprana, especialmente en mujeres jóvenes y en edad fértil. Estos buenos resultados se observaron mejor en tumores menores o iguales de 2 cm, en los tumores mayores de 2 cm los resultados tardan en aparecer.
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Muñoz Arteaga, M. V., Bojorque Bojorque, L. M., Tebanta Albán, D. N., & Armijos Ayala, A. D. (2023). Técnicas de ablación como tratamiento en pacientes con cáncer de mama. Ciencia Digital, 7(1), 20-41. https://doi.org/10.33262/cienciadigital.v7i1.2422
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Akram, M., Iqbal, M., Daniyal, M., & Ullah Khan, A. (2017). Awareness and current knowledge of breast cancer. Biological research, 50(1), 33. https://doi.org/10.1186/s40659-017-0140-9
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
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