High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports

Background Chemotherapy is the main treatment strategy for gestational trophoblastic neoplasia (GTN). Surgical resection is crucial to deal with chemoresistance and recurrence following chemotherapy. The aim of this study was to explore if high-intensity focused ultrasound (HIFU) can be used as a co...

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Autores principales: Chaokun She, Sha Li, Xiaojun Wang, Xianghui Lu, Hao Liang, Xiaoyun Liu
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Lenguaje:EN
Publicado: Taylor & Francis Group 2021
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Acceso en línea:https://doaj.org/article/287f3c2d77d94b759de277c86d38e2f7
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spelling oai:doaj.org-article:287f3c2d77d94b759de277c86d38e2f72021-11-04T15:00:41ZHigh-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports0265-67361464-515710.1080/02656736.2021.1998659https://doaj.org/article/287f3c2d77d94b759de277c86d38e2f72021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/02656736.2021.1998659https://doaj.org/toc/0265-6736https://doaj.org/toc/1464-5157Background Chemotherapy is the main treatment strategy for gestational trophoblastic neoplasia (GTN). Surgical resection is crucial to deal with chemoresistance and recurrence following chemotherapy. The aim of this study was to explore if high-intensity focused ultrasound (HIFU) can be used as a complementary technique to surgical procedures in the management of GTN. Case report This case report described two females who previously developed chemoresistance or recurrence during chemotherapy and then underwent HIFU as an adjuvant surgical salvage procedure. For high-risk GTN patients with chemoresistance, HIFU treatment decreased the risk of chemoresistance and shortened the course of chemotherapy. It also reduced the dosage of chemotherapeutic agents used for the patient who suffered a recurrence. Conclusion For patients with GTN who desire to preserve their uterus, HIFU may be used as a complementary technique to surgical resection in the management of GTN.Chaokun SheSha LiXiaojun WangXianghui LuHao LiangXiaoyun LiuTaylor & Francis Grouparticlechemoresistancechemotherapygestational trophoblastic neoplasiahigh intensity focused ultrasound (hifu)recurrenceMedical technologyR855-855.5ENInternational Journal of Hyperthermia, Vol 38, Iss 1, Pp 1584-1589 (2021)
institution DOAJ
collection DOAJ
language EN
topic chemoresistance
chemotherapy
gestational trophoblastic neoplasia
high intensity focused ultrasound (hifu)
recurrence
Medical technology
R855-855.5
spellingShingle chemoresistance
chemotherapy
gestational trophoblastic neoplasia
high intensity focused ultrasound (hifu)
recurrence
Medical technology
R855-855.5
Chaokun She
Sha Li
Xiaojun Wang
Xianghui Lu
Hao Liang
Xiaoyun Liu
High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
description Background Chemotherapy is the main treatment strategy for gestational trophoblastic neoplasia (GTN). Surgical resection is crucial to deal with chemoresistance and recurrence following chemotherapy. The aim of this study was to explore if high-intensity focused ultrasound (HIFU) can be used as a complementary technique to surgical procedures in the management of GTN. Case report This case report described two females who previously developed chemoresistance or recurrence during chemotherapy and then underwent HIFU as an adjuvant surgical salvage procedure. For high-risk GTN patients with chemoresistance, HIFU treatment decreased the risk of chemoresistance and shortened the course of chemotherapy. It also reduced the dosage of chemotherapeutic agents used for the patient who suffered a recurrence. Conclusion For patients with GTN who desire to preserve their uterus, HIFU may be used as a complementary technique to surgical resection in the management of GTN.
format article
author Chaokun She
Sha Li
Xiaojun Wang
Xianghui Lu
Hao Liang
Xiaoyun Liu
author_facet Chaokun She
Sha Li
Xiaojun Wang
Xianghui Lu
Hao Liang
Xiaoyun Liu
author_sort Chaokun She
title High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
title_short High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
title_full High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
title_fullStr High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
title_full_unstemmed High-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
title_sort high-intensity focused ultrasound ablation as an adjuvant surgical salvage procedure in gestational trophoblastic neoplasia chemotherapy with chemoresistance or recurrence: two case reports
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/287f3c2d77d94b759de277c86d38e2f7
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