title: Radiofrequency ablation for the treatment of stage I non-small cell lung cancer in high-risk patients.
abstract: OBJECTIVE
  Surgical resection is the standard of care for stage I non-small cell lung cancer. The objective of this study was to evaluate computed tomography-guided radiofrequency ablation as an alternative treatment option for high-risk patients with stage I non-small lung cancer.
  
  
  METHODS
  Patients with medically inoperable stage I non-small lung cancer were offered radiofrequency ablation. Thoracic surgeons evaluated and performed radiofrequency ablation under computed tomographic scanning guidance. Response was assessed by means of computed tomographic and positron emission tomographic scanning. Time to progression and survival were monitored every 3 months.
  
  
  RESULTS
  Nineteen patients underwent radiofrequency ablation over a 3-year period. There were 8 men and 11 women with a median age of 78 years (range, 68-88 years). Radiofrequency ablation resulted in pneumothorax requiring a pigtail catheter in 12 (63%) patients. An initial complete response was observed in 2 (10.5%) patients, a partial response in 10 (53%) patients, and stable disease in 5 (26%) patients. Early progression occurred in 2 (10.5%) patients. During follow-up, local progression occurred in 8 (42%) nodules, and the median time to progression was 27 months. There were no procedure-related mortalities, and 6 deaths occurred during follow-up. The mean follow-up in the remaining patients was 29 months (range, 9-52 months). The probability of survival at 1 year was estimated to be 95% (95% confidence interval, 0.85-1.0). The median survival was not reached.
  
  
  CONCLUSIONS
  Our experience indicates that radiofrequency ablation is safe in high-risk patients with stage I non-small lung cancer, with reasonable results in patients who are not fit for surgical intervention.
authors: Heart, Lung, and Esophageal Surgery Institute, Pittsburgh, Pa, USA.
authors: Arjun
authors: A
authors: Pennathur
authors: James D
authors: JD
authors: Luketich
authors: Ghulam
authors: G
authors: Abbas
authors: Mang
authors: M
authors: Chen
authors: Hiran C
authors: HC
authors: Fernando
authors: William E
authors: WE
authors: Gooding
authors: Matthew J
authors: MJ
authors: Schuchert
authors: Sebastien
authors: S
authors: Gilbert
authors: Neil A
authors: NA
authors: Christie
authors: Rodney J
authors: RJ
authors: Landreneau
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D017115:Catheter Ablation; D016009:Chi-Square Distribution; D018450:Disease Progression; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D015641:Radiography, Interventional; D012307:Risk Factors; D015996:Survival Rate; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome