New
Procedure Freezes
and Destroys Breast Tumors
Excerpt
from
ABCNews.com
A new medical procedure freezes and removes benign breast
tumors without surgery.
The so-called "cryoablation" technique, a procedure in which
the tumor is removed through freezing the cells, was developed
by the Sanarus Corp. of Pleasanton, Calif. The FDA approved it
six months ago as a non-surgical alternative for the elimination
of benign breast tumors, which are also called fibroadenomas
The same process has been used to successfully treat prostate
and liver cancers in recent years.
Each year more than 1.3 million women in the United States require
breast biopsies, according to the American Cancer Society. In
80 percent of those cases, those lumps are found to be benign,
or non-cancerous.
Two-thirds of patients opt for the surgical removal of the tumors,
which often leads to a painful recovery and scarring, according
to Sanarus. The scars are more than a cosmetic concern since they
can make future mammograms and breast exams more difficult by
obscuring the breast cancer cells.
Quick-Freeze Procedure Acts Fast
Cryoablation is winning support from some of the breast surgeons
who have used the technique, which involves only local anesthesia
and a sterile bandage
By contrast, open surgery, the most common treatment for benign
tumors, usually involves a day in the hospital, general anesthesia,
stitches and two to three days of recovery. Cryoablation involves
only local anesthesia and a sterile bandage.
With cyroablation, after doctors use ultrasound to pinpoint
the location of the tumor, they apply local anesthesia and place
a small needle, about the width of a matchstick, into the patient's
breast. The system creates very cold temperatures at the tip of
the needle, and the benign tumor is quick-frozen at a temperature
of minus 170 degrees Centigrade.
The intense cold transforms the tumor into a tiny ice ball,
visible through the ultrasound monitor. The intensity of the cold
actually kills the cells by causing the cellular membrane to shatter,
and the blood source to freeze, shrivel up and die. Over several
weeks, the tumor shrinks and ultimately disappears.
No Scar, No Pain
Dr. Seth Stabinsky of Sanarus says the ultrasound and cryoablation
make it easy on the patient and the surgeon.
"It gives the surgeons a great sense of comfort, to be able
to see what they're doing inside the breast," Stabinsky said.
"It's like using a stethoscope to listen to the heart. Now they've
got an opportunity to look inside with an ultrasound device while
they're doing a procedure."
ABCNEWS' Dr. Nancy Snyderman said there's no real health risk
in freezing some of the tumor's surrounding tissue. "Overall the
breast is fat tissue anyway and it will take up the area where
the tumor was," she said on Good Morning America.
Dr. Rache Simmons, a breast surgeon with the Weill Cornell Medical
Center in New York, has been using cryoablation for the past year,
with very encouraging results.
"By inserting the probe, freezing the tumor and not making a
surgical incision, we've avoided having to have a scar on a young
woman's breast," Simmons said.
And the ease of the operation means Foster would do it again.
"I would never go back to surgery," she said. "This was so easy
and no pain. So, that's the way to go." For Foster, the ease of
the operation means she would do it again.
"I would never go back to surgery. "This was so easy and no pain,"
she said. So, that's the way to go."
Treating Breast Cancer on Horizon?
Simmons said the procedure also has additional potential.
"Actually, we're looking at this very same technique, to be
able to treat breast cancer," Simmons said. "We would do the freezing
technique on the breast cancer. Then a week to two after the freezing
technique, we would remove the tumor to make sure indeed it worked.
The preliminary data is very exciting. We really do think that
freezing breast cancer is going to be an effective treatment in
the future."
As for Foster, freezing her tumor has allowed her to get on
with her life, and walk down the aisle on schedule.
Reference
Source 104
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