Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm
<i>Background and Objective</i>: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. <i>Materials and Methods</i>: This retrospective study reviewed eight patients with benign soft tissue neoplasm pre...
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doaj-917f7e1d2b524339a28e993c1dca9e602021-08-26T14:03:02ZengMDPI AGMedicina1010-660X1648-91442021-08-015783083010.3390/medicina57080830Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue NeoplasmWei-Che Lin0Yi-Fan Tai1Meng-Hsiang Chen2Sheng-Dean Luo3Faye Huang4Wei-Chih Chen5Pi-Ling Chiang6Hsiu-Ling Chen7Mei-Hsiu Chen8Jung-Hwan Baek9Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanPlastic and Reconstruction Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Beauty Science, Meiho University, Pingtung 912, TaiwanDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05500, Korea<i>Background and Objective</i>: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. <i>Materials and Methods</i>: This retrospective study reviewed eight patients with benign soft tissue neoplasm presenting with cosmetic concerns and/or symptomatic issues who refused surgery. Six patients had vascular malformation, including four with venous malformation and two with congenital hemangioma. The other two patients had neurofibroma. All patients underwent RFA using the moving-shot technique. Imaging and clinical follow-up were performed in all patients. Follow-up image modalities included ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging. The volume reduction ratio (VRR), cosmetic scale (CS), and complications were evaluated. <i>Results</i>: Among the seven patients having received single-stage RFA, there were significant volume reductions between baseline (33.3 ± 21.2 cm<sup>3</sup>), midterm follow-up (5.1 ± 3.8 cm<sup>3</sup>, <i>p</i> = 0.020), and final follow-up (3.6 ± 1.4 cm<sup>3</sup>, <i>p</i> = 0.022) volumes. The VRR was 84.5 ± 9.2% at final follow-up. There were also significant improvements in the CS (from 3.71 to 1.57, <i>p</i> = 0.017). The remaining patient, in the process of a scheduled two-stage RFA, had a 33.8% VRR after the first RFA. The overall VRR among the eight patients was 77.5%. No complications or re-growth of the targeted lesions were noted during the follow-up period. Of the eight patients, two received RFA under local anesthesia, while the other six patients were under general anesthesia. <i>Conclusions</i>: RFA using the moving-shot technique is an effective, safe, and minimally invasive treatment for benign soft tissue neoplasms, achieving mass volume reduction within 6 months and significant esthetic improvement, either with local anesthesia or with general anesthesia under certain conditions.https://www.mdpi.com/1648-9144/57/8/830radiofrequency ablationbenign soft tissue neoplasmcosmetic issuevolume reductionanesthesia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wei-Che Lin Yi-Fan Tai Meng-Hsiang Chen Sheng-Dean Luo Faye Huang Wei-Chih Chen Pi-Ling Chiang Hsiu-Ling Chen Mei-Hsiu Chen Jung-Hwan Baek |
spellingShingle |
Wei-Che Lin Yi-Fan Tai Meng-Hsiang Chen Sheng-Dean Luo Faye Huang Wei-Chih Chen Pi-Ling Chiang Hsiu-Ling Chen Mei-Hsiu Chen Jung-Hwan Baek Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm Medicina radiofrequency ablation benign soft tissue neoplasm cosmetic issue volume reduction anesthesia |
author_facet |
Wei-Che Lin Yi-Fan Tai Meng-Hsiang Chen Sheng-Dean Luo Faye Huang Wei-Chih Chen Pi-Ling Chiang Hsiu-Ling Chen Mei-Hsiu Chen Jung-Hwan Baek |
author_sort |
Wei-Che Lin |
title |
Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm |
title_short |
Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm |
title_full |
Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm |
title_fullStr |
Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm |
title_full_unstemmed |
Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm |
title_sort |
ultrasound-guided moving shot radiofrequency ablation of benign soft tissue neoplasm |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X 1648-9144 |
publishDate |
2021-08-01 |
description |
<i>Background and Objective</i>: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. <i>Materials and Methods</i>: This retrospective study reviewed eight patients with benign soft tissue neoplasm presenting with cosmetic concerns and/or symptomatic issues who refused surgery. Six patients had vascular malformation, including four with venous malformation and two with congenital hemangioma. The other two patients had neurofibroma. All patients underwent RFA using the moving-shot technique. Imaging and clinical follow-up were performed in all patients. Follow-up image modalities included ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging. The volume reduction ratio (VRR), cosmetic scale (CS), and complications were evaluated. <i>Results</i>: Among the seven patients having received single-stage RFA, there were significant volume reductions between baseline (33.3 ± 21.2 cm<sup>3</sup>), midterm follow-up (5.1 ± 3.8 cm<sup>3</sup>, <i>p</i> = 0.020), and final follow-up (3.6 ± 1.4 cm<sup>3</sup>, <i>p</i> = 0.022) volumes. The VRR was 84.5 ± 9.2% at final follow-up. There were also significant improvements in the CS (from 3.71 to 1.57, <i>p</i> = 0.017). The remaining patient, in the process of a scheduled two-stage RFA, had a 33.8% VRR after the first RFA. The overall VRR among the eight patients was 77.5%. No complications or re-growth of the targeted lesions were noted during the follow-up period. Of the eight patients, two received RFA under local anesthesia, while the other six patients were under general anesthesia. <i>Conclusions</i>: RFA using the moving-shot technique is an effective, safe, and minimally invasive treatment for benign soft tissue neoplasms, achieving mass volume reduction within 6 months and significant esthetic improvement, either with local anesthesia or with general anesthesia under certain conditions. |
topic |
radiofrequency ablation benign soft tissue neoplasm cosmetic issue volume reduction anesthesia |
url |
https://www.mdpi.com/1648-9144/57/8/830 |
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