[Radiofrequency ablation therapy for a pelvic recurrence from rectal cancer after radiotherapy in patient on maintenance hemodialysis-a case report].
A 75-year-old man, who was on maintenance hemodialysis, underwent a radiotherapy for locally recurrence of rectal cancer. A pain palliation was achieved and serum tumor markers were reduced. However, after six months, a tumor re- growth was detected and sacral pain was increased. Then, a radiofrequency ablation (RFA) was performed repeatedly as a palliative therapy and pain palliation was achieved. RFA is a safe and effective palliative therapy for patients of poor-risk, such as a terminal stage or hemodialysis patient. Furthermore, it is able to perform repeatedly when the response was not satisfactory. However, a Cool-tip electrode could not to be placed because tumors were hardened by radiotherapy and a repeat of RFA. Then a development of novel Cool-tip electrode may be needed.
Dept. of Surgery, Nishijin Hospital.
Yuen
Y
Nakase
Tsuyoshi
T
Takagi
Kanehisa
K
Fukumoto
Takuya
T
Miyagaki
D000368:Aged; D017115:Catheter Ablation; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010386:Pelvic Neoplasms / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery*; D012004:Rectal Neoplasms / Q000473:pathology / Q000628:therapy*; D012008:Recurrence; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed