The efficacy of radio-frequency ablation for metastatic lung or liver tumors of male germ cell tumors as an alternative minimally invasive therapy after salvage chemotherapy

Verfasser / Beitragende:
[Yoshio Naya, Terukazu Nakamura, Masakatsu Oishi, Takashi Ueda, Hiroyuki Nakanishi, Yasuyuki Naitoh, Fumiya Hongo, Kazumi Kamoi, Koji Okihara, Osamu Tanaka, Takuji Yamagami, Kei Yamada, Tsuneharu Miki]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/6(2015-12-01), 1192-1197
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0824-5  |2 doi 
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245 0 4 |a The efficacy of radio-frequency ablation for metastatic lung or liver tumors of male germ cell tumors as an alternative minimally invasive therapy after salvage chemotherapy  |h [Elektronische Daten]  |c [Yoshio Naya, Terukazu Nakamura, Masakatsu Oishi, Takashi Ueda, Hiroyuki Nakanishi, Yasuyuki Naitoh, Fumiya Hongo, Kazumi Kamoi, Koji Okihara, Osamu Tanaka, Takuji Yamagami, Kei Yamada, Tsuneharu Miki] 
520 3 |a Background: The aim of this study was to assess the efficacy of radio-frequency ablation (RFA) for metastatic lung or liver tumors of germ cell tumors (GCTs) after chemotherapy. Methods: RFA with computed tomography guidance and monitoring was performed in 24 patients with 48 metastatic lung or liver tumors of GCTs. Group A consisted of 9 patients with tumor marker normalization after salvage chemotherapy and group B consisted of 15 patients without tumor marker normalization in spite ofintensive treatment. Results: Out of 48 tumors, 41 tumors in 21 patients were evaluated for the efficacy of the RFA treatment. Of the 41 tumors, successful ablation was achieved in 34 (82.9%). The patients in group A had significantly better survival than the patients in group B (p=0.0003). In group A, all 9 patients are still alive with no evidence of disease (NED). Patients with a solitary tumor had significantly better survival than those with multiple tumors (p=0.0247). In group B, 2 patients are alive with NED, 1 patient is alive with disease, and the remaining 12 patients have died a tumor-related death. Three cases of pneumothorax requiring intubation were observed. Conclusions: RFA is less invasive than surgery and is an effective treatment option for curative and palliative therapy as an alternative to invasive salvage surgery for post-chemotherapeutic metastatic lung or liver lesions from GCT. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Radio-frequency ablation  |2 nationallicence 
690 7 |a Lung or liver metastases  |2 nationallicence 
690 7 |a Germ cell tumor  |2 nationallicence 
700 1 |a Naya  |D Yoshio  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Nakamura  |D Terukazu  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Oishi  |D Masakatsu  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Ueda  |D Takashi  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Nakanishi  |D Hiroyuki  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Naitoh  |D Yasuyuki  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Hongo  |D Fumiya  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Kamoi  |D Kazumi  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Okihara  |D Koji  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
700 1 |a Tanaka  |D Osamu  |u Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Yamagami  |D Takuji  |u Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Yamada  |D Kei  |u Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Miki  |D Tsuneharu  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1192-1197  |x 1341-9625  |q 20:6<1192  |1 2015  |2 20  |o 10147 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naya  |D Yoshio  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakamura  |D Terukazu  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Oishi  |D Masakatsu  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ueda  |D Takashi  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakanishi  |D Hiroyuki  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naitoh  |D Yasuyuki  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hongo  |D Fumiya  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kamoi  |D Kazumi  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okihara  |D Koji  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tanaka  |D Osamu  |u Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamagami  |D Takuji  |u Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamada  |D Kei  |u Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miki  |D Tsuneharu  |u Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1192-1197  |x 1341-9625  |q 20:6<1192  |1 2015  |2 20  |o 10147