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Spontaneous regression of multiple pulmonary metastases after radiofrequency ablation of a single metastasis

Cardiovasc Intervent Radiol. 2011 Apr;34(2):424-30. doi: 10.1007/s00270-010-9896-9. Epub 2010 Jun 8.

Abstract

We report two cases of spontaneous regression of multiple pulmonary metastases occurring after radiofrequency ablation (RFA) of a single lung metastasis. To the best of our knowledge, these are the first such cases reported. These two patients presented with lung metastases progressive despite treatment with interleukin-2, interferon, or sorafenib but were safely ablated with percutaneous RFA under computed tomography guidance. Percutaneous RFA allowed control of the targeted tumors for >1 year. Distant lung metastases presented an objective response despite the fact that they received no targeted local treatment. Local ablative techniques, such as RFA, induce the release of tumor-degradation product, which is probably responsible for an immunologic reaction that is able to produce a response in distant tumors.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Renal Cell / pathology*
  • Catheter Ablation / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Kidney Neoplasms / pathology*
  • Lung / diagnostic imaging
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / secondary*
  • Lung Neoplasms / therapy*
  • Male
  • Middle Aged
  • Radiography, Interventional / methods
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome