Clinical outcome of percutaneous RF-ablation of non-operable patients with liver metastasis from breast cancer

Radiol Med. 2015 Jun;120(6):536-41. doi: 10.1007/s11547-014-0489-6. Epub 2015 Jan 9.

Abstract

Purpose: Despite improved anti-neoplastic treatment the prognosis for patients with liver metastases from metastatic breast cancer remains poor.

Materials and methods: Thirty-two consecutive patients with metastatic breast cancer treated with radiofrequency ablation (RFA) at the Department of Oncology, Herlev Hospital, University of Copenhagen, from 1996 to 2010.

Results: Time to intrahepatic progression was median 11 months (range 1.6-184 months). Median survival after first RFA was 33.5 months. Survival at 1, 2 and 3 years was 87, 68 and 48 %, respectively. The local recurrence rate was 22 %.

Conclusions: In this small, highly selected cohort we found RFA safe and efficacious with a low local recurrence rate and a median survival above that expected with systemic treatment. Our data are in line with previous studies and underscore the need for a large prospective study using optimal chemotherapy regimens and RFA/surgery to clarify whether intense treatment protocols can prolong survival for certain patient groups.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / pathology*
  • Catheter Ablation*
  • Female
  • Follow-Up Studies
  • Humans
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / therapy*
  • Middle Aged
  • Treatment Outcome