Wien, 28 - Repository of the LBI-HTA - Ludwig Boltzmann Gesellschaft
Wien, 28 - Repository of the LBI-HTA - Ludwig Boltzmann Gesellschaft
Wien, 28 - Repository of the LBI-HTA - Ludwig Boltzmann Gesellschaft
Erfolgreiche ePaper selbst erstellen
Machen Sie aus Ihren PDF Publikationen ein blätterbares Flipbook mit unserer einzigartigen Google optimierten e-Paper Software.
Author, year, reference<br />
number<br />
Tumor location, n<br />
(several tumors/<br />
patient)<br />
Radi<strong>of</strong>requenzablation bei Tumoren des Urogenitaltrakts<br />
(Nierenzellkarzinom, Prostatakarzinom, Leiomyome des Uterus)<br />
Meng (2010) [39] Garza Leal (2011) [43] Lee (2010) [40] 10 Cho (2008) [44] 8 Ghezzi (2007) [42] Kim (2007) [41]<br />
I vs C:<br />
intramural (46 vs 45)<br />
submucosal (9 vs 16)<br />
subserosal (15 vs 7)<br />
Tumor size (cm) I vs C:<br />
O/5±1 (range 2-8) vs<br />
O/5±1 (range 2-8)<br />
Follow-up<br />
(months)<br />
Loss to followup,<br />
n (%)<br />
submucosal 8<br />
intramural 46<br />
subserosal 22<br />
submucosal leiomyoma in<br />
all pts<br />
range 1-10 O/5±2 (range 3-8) O/5±2<br />
(initial size <strong>of</strong> dominant<br />
myoma)<br />
n/a - <strong>of</strong> dominant myoma:<br />
posterior 12 (48%)<br />
anterior 9 (36%)<br />
fundal 4 (16%)<br />
median 5 (range 3-9)<br />
(initial size <strong>of</strong> dominant<br />
myoma)<br />
subserosal and/or<br />
intramural uterine leiomyoma in all pts<br />
n/a 12 6 18 median 24<br />
(range 12-36)<br />
6<br />
n/a 12/31 (39) at 12 months 0 14/153 (9) 16/25 (64) at 36 months 0<br />
Outcome<br />
Efficacy<br />
Tumor/uterine - complete ablation: - uterine volume (cm<br />
volume reduction RFA: in 45/50 pts (90%)<br />
HIFU: in 29/50 pts<br />
(58%)<br />
3 ):<br />
O/194±106 preoperative vs<br />
O/113±54 at 12 months, (in<br />
19/31 (61%) <strong>of</strong> pts),<br />
P=0.006<br />
- reduction rate <strong>of</strong> uterine<br />
volume: 74% (14/19 pts) at<br />
12 months<br />
Quality <strong>of</strong> life<br />
score11 (baseline<br />
n/a O/60±23 vs<br />
O/98±3 at 12 months,<br />
vs postoperative)<br />
P