A Fresh Perspective in Desmoid Tumour Treatment: Microwave Ablation
Dear readers, as an Interventional Radiology Specialist, Prof. Dr. Aykut Recep Aktaş, I wish to discuss microwave ablation, a modern, minimally invasive method that goes beyond traditional approaches in desmoid tumour treatment. Desmoid tumours are rare soft tissue tumours which, despite being benign, exhibit locally aggressive growth, tend to infiltrate surrounding tissues, and can significantly impact patients' quality of life.
Desmoid Tumours and the Challenges of Surgical Treatment
Traditionally, surgical excision has been the primary treatment option for desmoid tumours. However, surgery can pose significant challenges, particularly when the tumour is located in critical anatomical regions (nerves, blood vessels, organs). Complete removal of the tumour often necessitates extensive resection, which can lead to functional loss, cosmetic deformities, and prolonged recovery periods.
Crucially, the risk of recurrence for desmoid tumours after surgery is considerably high. Studies indicate that post-surgical recurrence rates can range from 20% to 80%. This high recurrence rate can be both physically and psychologically exhausting for patients, often requiring repeat surgical interventions.
Microwave Ablation: A Powerful Alternative to Surgery
It is at this juncture that microwave ablation, one of the innovative solutions offered by Interventional Radiology, stands out as a strong alternative to surgery for desmoid tumour treatment. This method is significantly less invasive than surgery, enabling faster patient recovery and fewer complications.
How Microwave Ablation Is Performed and Deactivates the Tumour
Microwave ablation is performed by inserting a special needle directly into the tumour under the guidance of imaging techniques such as ultrasound or computed tomography (CT). High-frequency microwave energy emitted from the tip of this needle creates a targeted heating zone within the tumour tissue. This generated high heat (typically 60-100°C) denatures tumour cell proteins and destroys cell membranes, effectively eliminating the tumour from the inside out, as if by 'burning'. In this way, the tumour tissue is irreversibly damaged and rendered inactive.
One of the most significant advantages of microwave ablation is its minimal damage to healthy tissues surrounding the tumour. By focusing on the targeted tumour tissue, nerves, blood vessels, and other vital structures can be preserved. This precise application shortens operation time, reduces blood loss, and can eliminate or lessen the need for general anaesthesia. The recovery process is typically much faster, allowing patients to return to their normal lives swiftly.
Why Choose Microwave Ablation?
Considering the high risk of desmoid tumour recurrence after surgery, minimally invasive and locally effective methods like microwave ablation offer significant potential. This method can be a particularly valuable option for recurrent tumours, in patients unsuitable for surgery, or where the morbidity risk of surgery is high. Current literature suggests that in selected desmoid tumour cases, microwave ablation can offer local control rates similar to or even better than surgery.
For more information on the role of microwave ablation in desmoid tumour treatment and for a personalised assessment, it is important to consult with an expert Interventional Radiologist. Detaylı bilgi için Prof. Dr. Aykut Recep Aktaş ile iletişime geçin.