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Tumour Ablation Therapies are a group of minimally invasive ablation procedures that use heat or extreme cold to ablate or destroy tumour cells using imaging tests. The approach is mostly used in cancers that arise in the kidneys, liver, bone, prostate, lung, pancreas, breast, thyroid, or adrenal glands.
Pre-procedure: General instructions regarding preparation, type of anaesthesia, complications, and tentative recovery are discussed. Patients are advised to come at least 1 hour or 30 minutes before to submit and process any paperwork. After the necessary pre-procedure, an interventional radiologist reviews your case and explains the events of the procedure.
Procedure: Depending on the location, the type of ablation employed, and the level of invasiveness required, anaesthesia is administered. Using image guidance, a needle is inserted and passed through the site of the tumour. Specialised probes are activated, where they either heat or freeze to ablate the tumour cells. Based on the size of the tumour, patients may require multiple ablations. After the procedure, specialists remove the probes, and pressure is applied to stop bleeding.
Post-procedure: You will be shifted to the recovery room for further observation. Depending on your condition, you may need bed rest for two to three hours.
Some factors specialists consider in selecting eligible candidates for Tumour Ablation Therapies include:
Individuals who cannot undergo conventional procedures due to existing comorbidities
Shows signs of metastasis, characterised by the spread of cancer cells to other organs, such as malignant bone or lung metastasis
Diagnosed with an inoperable tumour
Used in tumours that are resistant to chemotherapy drugs by coupling them with Ablation techniques
Employed along with Radiation or Surgery depending on the severity of the condition
Tumour size is small or relieves pain by combining with other therapies
Tumour Ablation Therapies offer several benefits or advantages compared to conventional techniques, some of which include:
Shorter duration of procedure
Quick recovery compared to open surgery
Less expensive
Minimal complications and damage to surrounding tissues
Ability to resume Chemotherapy for patients requiring it
Reduced or relieves pain in many patients
Can be repeated if required
Based on the size and location of the tumour and the individual condition, some types of Ablation techniques employed by interventional radiologists include:
Radiofrequency Ablation, which involves high-frequency electrical current to create heat, enabling the ablation of tumour cells.
Microwave Ablation, is characterised by the transmission of electromagnetic waves, agitating the water molecules present in tumour cells; by heat, these tumour cells are destroyed.
Cryoablation is a technique that involves the use of helium or argon gas to lower the temperature of a tumour to - 40°C. The procedure is performed as an outpatient procedure and is typically addressed for kidney and prostate cancers.
Magnetic Resonance (MR) guided Focused Ultrasound Ablation, which implements focused ultrasound energy through the skin of the tumour. With the help of MR imaging, precise images are obtained to locate the area, and the energy is used to ablate the tumour.
NanoKnife is a new treatment approach that helps in damaging tumour cells by creating permanent pores at tumour cells using electrical pulses, causing cell death. It is mainly addressed in the inoperable liver or pancreatic tumours.
Laser Ablation, involves the use of lasers to treat skin lesions or discolourations.
Some general instructions you should follow if Tumour Ablation Therapy is recommended include:
Inform your specialists of current medications, including supplements. In case of allergies caused by anaesthesia or certain medicines, or if you are pregnant, you should notify our specialists.
Refrain from taking medications like Anti-coagulants or Non-steroidal Anti Inflammatory Drugs (NSAIDs).
Unless specified, you may have to fast for a period before the procedure.
Leave behind any jewellery or metallic objects.
If anaesthesia is discussed, you should plan your transportation before and after the procedure. Moreover, discuss with our specialist whether your conditions necessitate hospitalisation. If yes, you may also have to plan your arrangements for your stay.
Possible complications or risks that may arise during or after undergoing Tumour Ablation include:
Infection and heavy bleeding
Possible damage to nearby tissues during the procedure, causing abscess, inflammation, or pain
Adverse events caused by the administration of anaesthesia
Post-ablation symptoms, such as flu-like symptoms, that may last about 5 days
Scarring
Heart attack or stroke
Each ablation usually takes around 10 to 30 minutes, although this may vary depending on the number of ablations performed. Generally, the entire procedure should take 1 to 3 hours. Our specialist will let you know the expected duration based on your case.
General recovery instructions you should follow after undergoing Tumour Ablation Therapy include:
Refrain from driving for at least 24 hours or until your specialist advises on the procedure.
Although you can return to normal activities within 1 to 7 days, you should abstain from performing heavy or strenuous exercises.
In the case of Endometrial Ablation, a procedure that addresses heavy or abnormal menstrual bleeding, it is normal to experience vaginal bleeding or discharge that can persist for up to 3 or 4 weeks. If it persists longer, seek medical attention.
Adhere to any pain medications or other medicines tailored by our specialist.
You may need to seek medical care if you exhibit symptoms, such as heavy bleeding, nausea and vomiting, pain, or high-temperature fever.
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