1. Microwave Ablation for Inoperable Stage I Non-Small Cell Lung Cancer in Patients Aged ≥70 Years: A Prospective, Single-Center Study.
- Author
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Peng JZ, Wang CE, Bie ZX, Li YM, and Li XG
- Subjects
- Aged, Humans, Microwaves adverse effects, Prospective Studies, Retrospective Studies, Treatment Outcome, Carcinoma, Non-Small-Cell Lung diagnostic imaging, Carcinoma, Non-Small-Cell Lung surgery, Catheter Ablation adverse effects, Catheter Ablation methods, Lung Neoplasms diagnostic imaging, Lung Neoplasms surgery
- Abstract
Purpose: To evaluate the safety and survival outcomes of computed tomography-guided microwave ablation (MWA) for medically inoperable Stage I non-small cell lung cancer (NSCLC) in patients aged ≥70 years., Materials and Methods: This study was a prospective, single-arm, single-center clinical trial. The MWA clinical trial enrolled patients aged ≥70 years with medically inoperable Stage I NSCLC from January 2021 to October 2021. All patients received biopsy and MWA synchronously with the coaxial technique. The primary endpoints were 1-year overall survival (OS) and progression-free survival (PFS). The secondary endpoint was adverse events., Results: A total of 103 patients were enrolled. Ninety-seven patients were eligible and analyzed. The median age was 75 years (range, 70-91 years). The median diameter of tumors was 16 mm (range, 6-33 mm). Adenocarcinoma (87.6%) was the most common histologic finding. With a median follow-up of 16.0 months, the 1-year OS and PFS rates were 99.0% and 93.7%, respectively. There were no procedure-related deaths in any patient within 30 days after MWA. Most of the adverse events were minor., Conclusion: MWA is an effective and safe treatment for patients aged ≥70 years with medically inoperable Stage I NSCLC., (Copyright © 2023 SIR. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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