A case report of sarcoma recurrence treated with a balloon-occluded combined approach (b-MWA + b-TAE)

Sarcomas present challenges in management due to their aggressive nature. Interventional radiology, utilizing ablation and embolization, offer promising alternatives for recurrent cases. In recent years, combined techniques (ablation + embolization) and the use of balloon-microcatheter have been int...

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Bibliographic Details
Published in:Radiology case reports Vol. 19; no. 11; pp. 5294 - 5298
Main Authors: Punzi, Ernesto, Porcaro, Piercarmine, Flora, Emanuele, Izzo, Andrea, Amodeo, Enrico Maria, Lombardi, Giulio
Format: Journal Article
Language:English
Published: Netherlands Elsevier Inc 01-11-2024
Elsevier
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Summary:Sarcomas present challenges in management due to their aggressive nature. Interventional radiology, utilizing ablation and embolization, offer promising alternatives for recurrent cases. In recent years, combined techniques (ablation + embolization) and the use of balloon-microcatheter have been introduced to enhance the necrotic effect in HCC treatment. This paper presents the case of a 47-year-old female with recurrent abdominal sarcoma treated with balloon-occluded microwave ablation (b-MWA) and balloon-occluded transarterial embolization (b-TAE). Post-treatment imaging revealed a significant reduction in lesion size and absence of pathological contrast enhancement. This study highlights the potential of balloon-catheter-assisted combined therapies (b-MWA + b-TAE) in managing sarcomas, expanding the applicability of interventional radiology for inoperable cases that are too large for ablative therapy alone or requiring multiple antennas. Further research is warranted to refine protocols and enhance patient outcomes in sarcoma management.
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ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.07.180