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Update on Percutaneous Ablation for Sarcoma

  • REVIEW
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Abstract

Purpose of Review

To provide an update on the current state of percutaneous thermal ablation in the treatment of sarcoma.

Recent Findings

Data continue to accrue in support of ablation for local control and palliation of specific sarcoma subtypes such as extra-abdominal desmoid fibromatosis and for broader indications such as the treatment of oligometastatic disease. The synergistic possibilities of various combination therapies such as cryoablation and immunotherapy represent intriguing areas of active investigation. Histotripsy is an emerging non-invasive, non-thermal ablative modality that may further expand the therapeutic arsenal for sarcoma treatment.

Summary

Percutaneous thermal ablation is a valuable tool in the multidisciplinary management of sarcoma, offering a minimally invasive adjunct to surgery and radiation therapy. Although there remains a paucity of high-level evidence specific to sarcomas, ablation techniques are demonstrably safe and effective for achieving local tumor control and providing pain relief in select patients and are of particular benefit in those with metastatic disease or requiring palliative care.

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Data Availability

No datasets were generated or analysed during the current study.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17–48. https://doi.org/10.3322/caac.21763.

    Article  PubMed  Google Scholar 

  2. Anderson WJ, Doyle LA. Updates from the 2020 World Health Organization classification of soft tissue and bone tumours. Histopathology. 2021;78(5):644–57. https://doi.org/10.1111/his.14265.

    Article  PubMed  Google Scholar 

  3. Folpe AL. ‘I Can’t Keep Up!’: an update on advances in soft tissue pathology occurring after the publication of the 2020 World Health Organization classification of soft tissue and bone tumours. Histopathology. 2022;80(1):54–75. https://doi.org/10.1111/his.14460.

    Article  PubMed  Google Scholar 

  4. Blay JY, Soibinet P, Penel N, Bompas E, Duffaud F, Stoeckle E, et al. Improved survival using specialized multidisciplinary board in sarcoma patients. Ann Oncol. 2017;28(11):2852–9. https://doi.org/10.1093/annonc/mdx484.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Pervaiz N, Colterjohn N, Farrokhyar F, Tozer R, Figueredo A, Ghert M. A systematic meta-analysis of randomized controlled trials of adjuvant chemotherapy for localized resectable soft-tissue sarcoma. Cancer. 2008;113(3):573–81. https://doi.org/10.1002/cncr.23592.

    Article  PubMed  Google Scholar 

  6. Rybak LD. Fire and ice: thermal ablation of musculoskeletal tumors. Radiol Clin North Am. 2009;47(3):455–69. https://doi.org/10.1016/j.rcl.2008.12.006.

    Article  PubMed  Google Scholar 

  7. Erinjeri JP, Clark TW. Cryoablation: mechanism of action and devices. J Vasc Interv Radiol. 2010;21(8 Suppl):S187–91. https://doi.org/10.1016/j.jvir.2009.12.403.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Parvinian A, Kurup AN, Atwell TD, Schmit GD, Schmitz JJ, Morris JM. Percutaneous cryoablation of large tumors: safety, feasibility, and technical considerations. Cardiovasc Intervent Radiol. 2022;45(1):69–79. https://doi.org/10.1007/s00270-021-03025-7.

    Article  PubMed  Google Scholar 

  9. Parvinian A, Morris JM, Johnson-Tesch BA, Kurup AN. Thermoprotection of neural structures during musculoskeletal ablation. Cardiovasc Intervent Radiol. 2023;46(11):1495–503. https://doi.org/10.1007/s00270-023-03407-z.

    Article  PubMed  Google Scholar 

  10. Kurup AN, Schmit GD, Morris JM, Atwell TD, Schmitz JJ, Weisbrod AJ, et al. Avoiding complications in bone and soft tissue ablation. Cardiovasc Intervent Radiol. 2017;40(2):166–76. https://doi.org/10.1007/s00270-016-1487-y.

    Article  PubMed  Google Scholar 

  11. Motzer RJ, Jonasch E, Agarwal N, Alva A, Baine M, Beckermann K, et al. Kidney cancer, version 3.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022;20(1):71–90. https://doi.org/10.6004/jnccn.2022.0001.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Colak C, Hull C, Simpfendorfer C, Ilaslan H, Forney M. Extra-abdominal desmoid fibromatosis: cryoablation versus traditional therapies. Clin Imaging. 2022;88:9–16. https://doi.org/10.1016/j.clinimag.2022.05.001.

    Article  PubMed  Google Scholar 

  13. Schmitz JJ, Schmit GD, Atwell TD, Callstrom MR, Kurup AN, Weisbrod AJ, et al. Percutaneous cryoablation of extraabdominal desmoid tumors: a 10-year experience. AJR Am J Roentgenol. 2016;207(1):190–5. https://doi.org/10.2214/AJR.15.14391.

    Article  PubMed  Google Scholar 

  14. Redifer Tremblay K, Lea WB, Neilson JC, King DM, Tutton SM. Percutaneous cryoablation for the treatment of extra-abdominal desmoid tumors. J Surg Oncol. 2019;120(3):366–75. https://doi.org/10.1002/jso.25597.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Kasper B, Baumgarten C, Garcia J, Bonvalot S, Haas R, Haller F, et al. An update on the management of sporadic desmoid-type fibromatosis: a European Consensus Initiative between Sarcoma PAtients EuroNet (SPAEN) and European Organization for Research and Treatment of Cancer (EORTC)/Soft Tissue and Bone Sarcoma Group (STBSG). Ann Oncol. 2017;28(10):2399–408. https://doi.org/10.1093/annonc/mdx323.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Fiore M, Rimareix F, Mariani L, Domont J, Collini P, Le Pechoux C, et al. Desmoid-type fibromatosis: a front-line conservative approach to select patients for surgical treatment. Ann Surg Oncol. 2009;16(9):2587–93. https://doi.org/10.1245/s10434-009-0586-2.

    Article  PubMed  Google Scholar 

  17. van Houdt WJ, Husson O, Patel A, Jones RL, Smith MJF, Miah AB, et al. Outcome of primary desmoid tumors at all anatomic locations initially managed with active surveillance. Ann Surg Oncol. 2019;26(13):4699–706. https://doi.org/10.1245/s10434-019-07826-6.

    Article  PubMed  Google Scholar 

  18. Huang K, Hong R, Luo L, Zhao H, Wang Y, Li Y, et al. Efficacy and safety of different thermal ablative therapies for desmoid-type fibromatosis: a systematic review and meta-analysis. Quant Imaging Med Surg. 2023;13(10):6683–97. https://doi.org/10.21037/qims-23-289.

    Article  PubMed  PubMed Central  Google Scholar 

  19. •• Kurtz JE, Buy X, Deschamps F, Sauleau E, Bouhamama A, Toulmonde M, et al. CRYODESMO-O1: a prospective, open phase II study of cryoablation in desmoid tumour patients progressing after medical treatment. Eur J Cancer. 2021;143:78–87. https://doi.org/10.1016/j.ejca.2020.10.035. Prospective multicenter nonrandomized study demonstrating feasibility of cryoablation for treatment of progressing non-abdominopelvic desmoid fibromatosis. A follow-up prospective randomized study, CRYODESMO-02, is currently ongoing.

    Article  CAS  PubMed  Google Scholar 

  20. von Mehren M, Kane JM, Agulnik M, Bui MM, Carr-Ascher J, Choy E, et al. Soft tissue sarcoma, version 2.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022;20(7):815–33. https://doi.org/10.6004/jnccn.2022.0035.

  21. Gronchi A, Miah AB, Dei Tos AP, Abecassis N, Bajpai J, Bauer S, et al. Soft tissue and visceral sarcomas: ESMO-EURACAN-GENTURIS Clinical Practice Guidelines for diagnosis, treatment and follow-up(✩). Ann Oncol. 2021;32(11):1348–65. https://doi.org/10.1016/j.annonc.2021.07.006.

    Article  CAS  PubMed  Google Scholar 

  22. Stojadinovic A, Karpoff HM, Antonescu CR, Shah JP, Singh B, Spiro RH, et al. Dermatofibrosarcoma protuberans of the head and neck. Ann Surg Oncol. 2000;7(9):696–704. https://doi.org/10.1007/s10434-000-0696-3.

    Article  CAS  PubMed  Google Scholar 

  23. Xu J, Li J, Zhou X, Zeng J, Yao F, Wang Y, et al. Cryotherapy for local recurrent dermatofibrosarcoma protuberans: experience in 19 patients. Cryobiology. 2014;68(1):134–8. https://doi.org/10.1016/j.cryobiol.2014.01.009.

    Article  PubMed  Google Scholar 

  24. Fan W, Niu L, Wang Y, Zhang Y, Yao X, Tan G, et al. Percutaneous computed tomography-guided cryoablation for recurrent retroperitoneal soft tissue sarcoma: a study of safety and efficacy. Oncotarget. 2016;7(27):42639–49. https://doi.org/10.18632/oncotarget.9476.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Fan WZ, Niu LZ, Wang Y, Yao XH, Zhang YQ, Tan GS, et al. Initial experience: alleviation of pain with percutaneous CT-guided cryoablation for recurrent retroperitoneal soft-tissue sarcoma. J Vasc Interv Radiol. 2016;27(12):1798–805. https://doi.org/10.1016/j.jvir.2016.06.034.

    Article  PubMed  Google Scholar 

  26. Yu W, Tang L, Lin F, Jiang L, Shen Z. Significance of HIFU in local unresectable recurrence of soft tissue sarcoma, a single-center, respective, case series in China. Surg Oncol. 2019;30:117–21. https://doi.org/10.1016/j.suronc.2019.06.004.

    Article  PubMed  Google Scholar 

  27. Deschamps F, Farouil G, Ternes N, Gaudin A, Hakime A, Tselikas L, et al. Thermal ablation techniques: a curative treatment of bone metastases in selected patients? Eur Radiol. 2014;24(8):1971–80. https://doi.org/10.1007/s00330-014-3202-1.

    Article  CAS  PubMed  Google Scholar 

  28. Lessard AM, Gilchrist J, Schaefer L, Dupuy DE. Palliation of recurrent Ewing sarcoma of the pelvis with cryoablation and somatosensory-evoked potentials. J Pediatr Hematol Oncol. 2009;31(1):18–21. https://doi.org/10.1097/MPH.0b013e31818ab2b7.

    Article  PubMed  Google Scholar 

  29. Li J, Guo Z, Yang Q, Ji C, Wang Z. Adjuvant argon-based cryoablation for joint-preserving tumor resection in patients with juxta-articular osteosarcoma around the knee. Cryobiology. 2015;71(2):236–43. https://doi.org/10.1016/j.cryobiol.2015.07.005.

    Article  PubMed  Google Scholar 

  30. Li J, Guo Z, Wang Z, Fan H, Fu J. Does microwave ablation of the tumor edge allow for joint-sparing surgery in patients with osteosarcoma of the proximal tibia? Clin Orthop Relat Res. 2015;473(10):3204–11. https://doi.org/10.1007/s11999-015-4447-y.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Yamakado K, Matsumine A, Nakamura T, Nakatsuka A, Takaki H, Matsubara T, et al. Radiofrequency ablation for the treatment of recurrent bone and soft-tissue sarcomas in non-surgical candidates. Int J Clin Oncol. 2014;19(5):955–62. https://doi.org/10.1007/s10147-013-0640-8.

    Article  PubMed  Google Scholar 

  32. Fan QY, Zhou Y, Zhang M, Ma B, Yang T, Long H, et al. Microwave ablation of primary malignant pelvic bone tumors. Front Surg. 2019;6:5. https://doi.org/10.3389/fsurg.2019.00005.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Li C, Zhang W, Fan W, Huang J, Zhang F, Wu P. Noninvasive treatment of malignant bone tumors using high-intensity focused ultrasound. Cancer. 2010;116(16):3934–42. https://doi.org/10.1002/cncr.25192.

    Article  PubMed  Google Scholar 

  34. Chen W, Zhu H, Zhang L, Li K, Su H, Jin C, et al. Primary bone malignancy: effective treatment with high-intensity focused ultrasound ablation. Radiology. 2010;255(3):967–78. https://doi.org/10.1148/radiol.10090374.

    Article  PubMed  Google Scholar 

  35. Yu W, Tang L, Lin F, Yao Y, Shen Z, Zhou X. High-intensity focused ultrasound: noninvasive treatment for local unresectable recurrence of osteosarcoma. Surg Oncol. 2015;24(1):9–15. https://doi.org/10.1016/j.suronc.2014.10.001.

    Article  PubMed  Google Scholar 

  36. Kurup AN, Woodrum DA, Morris JM, Atwell TD, Schmit GD, Welch TJ, et al. Cryoablation of recurrent sacrococcygeal tumors. J Vasc Interv Radiol. 2012;23(8):1070–5. https://doi.org/10.1016/j.jvir.2012.05.043.

    Article  PubMed  Google Scholar 

  37. Robinson MH, Sheppard M, Moskovic E, Fischer C. Lung metastasectomy in patients with soft tissue sarcoma. Br J Radiol. 1994;67(794):129–35. https://doi.org/10.1259/0007-1285-67-794-129.

    Article  CAS  PubMed  Google Scholar 

  38. Christie-Large M, James SL, Tiessen L, Davies AM, Grimer RJ. Imaging strategy for detecting lung metastases at presentation in patients with soft tissue sarcomas. Eur J Cancer. 2008;44(13):1841–5. https://doi.org/10.1016/j.ejca.2008.06.004.

    Article  CAS  PubMed  Google Scholar 

  39. Gage MM, Nagarajan N, Ruck JM, Canner JK, Khan S, Giuliano K, et al. Sarcomas in the United States: recent trends and a call for improved staging. Oncotarget. 2019;10(25):2462–74. https://doi.org/10.18632/oncotarget.26809.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Gadd MA, Casper ES, Woodruff JM, McCormack PM, Brennan MF. Development and treatment of pulmonary metastases in adult patients with extremity soft tissue sarcoma. Ann Surg. 1993;218(6):705–12. https://doi.org/10.1097/00000658-199312000-00002.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Leong SP, Nakakura EK, Pollock R, Choti MA, Morton DL, Henner WD, et al. Unique patterns of metastases in common and rare types of malignancy. J Surg Oncol. 2011;103(6):607–14. https://doi.org/10.1002/jso.21841.

    Article  PubMed  Google Scholar 

  42. Callegaro D, Miceli R, Bonvalot S, Ferguson P, Strauss DC, Levy A, et al. Impact of perioperative chemotherapy and radiotherapy in patients with primary extremity soft tissue sarcoma: retrospective analysis across major histological subtypes and major reference centres. Eur J Cancer. 2018;105:19–27. https://doi.org/10.1016/j.ejca.2018.09.028.

    Article  PubMed  Google Scholar 

  43. Hellman S, Weichselbaum RR. Oligometastases. J Clin Oncol. 1995;13(1):8–10. https://doi.org/10.1200/JCO.1995.13.1.8.

    Article  CAS  PubMed  Google Scholar 

  44. Falk AT, Moureau-Zabotto L, Ouali M, Penel N, Italiano A, Bay JO, et al. Effect on survival of local ablative treatment of metastases from sarcomas: a study of the French sarcoma group. Clin Oncol (R Coll Radiol). 2015;27(1):48–55. https://doi.org/10.1016/j.clon.2014.09.010.

    Article  CAS  PubMed  Google Scholar 

  45. Hirbe AC, Jennings J, Saad N, Giardina JD, Tao Y, Luo J, et al. A phase II study of tumor ablation in patients with metastatic sarcoma stable on chemotherapy. Oncologist. 2018;23(7):760-e76. https://doi.org/10.1634/theoncologist.2017-0536.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Snyder CL, Saltzman DA, Ferrell KL, Thompson RC, Leonard AS. A new approach to the resection of pulmonary osteosarcoma metastases. Results of aggressive metastasectomy. Clin Orthop Relat Res. 1991;(270):247–53.

  47. Horan TA, Santiago FF, Araujo LM. The benefit of pulmonary metastectomy for bone and soft tissue sarcomas. Int Surg. 2000;85(3):185–9.

    CAS  PubMed  Google Scholar 

  48. Nakamura T, Matsumine A, Matsubara T, Asamuma K, Niimi R, Uchida A, et al. Retrospective analysis of metastatic sarcoma patients. Oncol Lett. 2011;2(2):315–8. https://doi.org/10.3892/ol.2011.238.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Blackmon SH, Shah N, Roth JA, Correa AM, Vaporciyan AA, Rice DC, et al. Resection of pulmonary and extrapulmonary sarcomatous metastases is associated with long-term survival. Ann Thorac Surg. 2009;88(3):877–84. https://doi.org/10.1016/j.athoracsur.2009.04.144. (discussion 84-5).

    Article  PubMed  Google Scholar 

  50. de Baere T, Tselikas L, Woodrum D, Abtin F, Littrup P, Deschamps F, et al. Evaluating cryoablation of metastatic lung tumors in patients–safety and efficacy: the ECLIPSE Trial-Interim Analysis at 1 Year. J Thorac Oncol. 2015;10(10):1468–74. https://doi.org/10.1097/JTO.0000000000000632.

    Article  PubMed  Google Scholar 

  51. •• de Baere T, Woodrum D, Tselikas L, Abtin F, Littrup P, Deschamps F, et al. The ECLIPSE study: efficacy of cryoablation on metastatic lung tumors with a 5-year follow-up. J Thorac Oncol. 2021;16(11):1840–9. https://doi.org/10.1016/j.jtho.2021.07.021. A five-year follow up of the prospective, multicenter ECLIPSE study demonstrating the efficacy of cryoablation in achieving long-term local tumor control in patients with pulmonary metastases.

    Article  CAS  PubMed  Google Scholar 

  52. •• Callstrom MR, Woodrum DA, Nichols FC, Palussiere J, Buy X, Suh RD, et al. Multicenter study of metastatic lung tumors targeted by interventional cryoablation evaluation (SOLSTICE). J Thorac Oncol. 2020;15(7):1200–9. https://doi.org/10.1016/j.jtho.2020.02.022. A prospective, multicenter, phase II study demonstrating the safety and efficacy of percutaneous cryoablation for treatment of pulmonary metastases.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Agolli L, Bracci S, Nicosia L, Valeriani M, De Sanctis V, Osti MF. Lung metastases treated with stereotactic ablative radiation therapy in oligometastatic colorectal cancer patients: outcomes and prognostic factors after long-term follow-up. Clin Colorectal Cancer. 2017;16(1):58–64. https://doi.org/10.1016/j.clcc.2016.07.004.

    Article  PubMed  Google Scholar 

  54. Nakamura T, Matsumine A, Yamakado K, Matsubara T, Takaki H, Nakatsuka A, et al. Lung radiofrequency ablation in patients with pulmonary metastases from musculoskeletal sarcomas [corrected]. Cancer. 2009;115(16):3774–81. https://doi.org/10.1002/cncr.24420.

    Article  PubMed  Google Scholar 

  55. Sato T, Iguchi T, Hiraki T, Gobara H, Fujiwara H, Sakurai J, et al. Radiofrequency ablation of pulmonary metastases from sarcoma: single-center retrospective evaluation of 46 patients. Jpn J Radiol. 2017;35(2):61–7. https://doi.org/10.1007/s11604-016-0601-z.

    Article  PubMed  Google Scholar 

  56. Koelblinger C, Strauss S, Gillams A. Outcome after radiofrequency ablation of sarcoma lung metastases. Cardiovasc Intervent Radiol. 2014;37(1):147–53. https://doi.org/10.1007/s00270-013-0644-9.

    Article  PubMed  Google Scholar 

  57. Palussiere J, Italiano A, Descat E, Ferron S, Cornelis F, Avril A, et al. Sarcoma lung metastases treated with percutaneous radiofrequency ablation: results from 29 patients. Ann Surg Oncol. 2011;18(13):3771–7. https://doi.org/10.1245/s10434-011-1806-0.

    Article  CAS  PubMed  Google Scholar 

  58. Nakamura T, Matsumine A, Takao M, Nakatsuka A, Matsubara T, Asanuma K, et al. Impact of tumor volume doubling time on post-metastatic survival in bone or soft-tissue sarcoma patients treated with metastasectomy and/or radiofrequency ablation of the lung. Onco Targets Ther. 2017;10:559–64. https://doi.org/10.2147/OTT.S121562.

    Article  PubMed  PubMed Central  Google Scholar 

  59. • Ahn Y, Lee SM, Kim MS, Choi S, Kim S, Do KH, et al. Volume doubling times of pulmonary metastases in patients with bone and soft-tissue sarcomas: associations with subsequent new metastases and survival after metastasectomy. AJR Am J Roentgenol. 2022;218(4):624–32. https://doi.org/10.2214/AJR.21.26859. Retrospective study demonstrating that sarcoma patients with faster growing pulmonary metastases were more likely to develop new metastases after metastectomy and had worse overall survival.

    Article  PubMed  Google Scholar 

  60. Saumet L, Deschamps F, Marec-Berard P, Gaspar N, Corradini N, Petit P, et al. Radiofrequency ablation of metastases from osteosarcoma in patients under 25 years: the SCFE experience. Pediatr Hematol Oncol. 2015;32(1):41–9. https://doi.org/10.3109/08880018.2014.926469.

    Article  CAS  PubMed  Google Scholar 

  61. Yevich S, Gaspar N, Tselikas L, Brugieres L, Pacquement H, Schleiermacher G, et al. Percutaneous computed tomography-guided thermal ablation of pulmonary osteosarcoma metastases in children. Ann Surg Oncol. 2016;23(4):1380–6. https://doi.org/10.1245/s10434-015-4988-z.

    Article  PubMed  Google Scholar 

  62. • Bourgouin PP, Wrobel MM, Mercaldo ND, Murphy MC, Leppelmann KS, Levesque VM, et al. Comparison of percutaneous image-guided microwave ablation and cryoablation for sarcoma lung metastases: a 10-year experience. AJR Am J Roentgenol. 2022;218(3):494–504. https://doi.org/10.2214/AJR.21.26551. Retrospective study demonstrating similar efficacy of microwave ablation and cryoablation for treatment of sarcoma lung metastases and better outcomes when treating tumors 1 cm or smaller.

    Article  PubMed  Google Scholar 

  63. Yamamoto H, Yamamoto H, Soh J, Suzuki E, Namba K, Suzawa K, et al. A simple prognostic benefit scoring system for sarcoma patients with pulmonary metastases: sarcoma lung metastasis score. Ann Surg Oncol. 2021;28(7):3884–90. https://doi.org/10.1245/s10434-020-09272-1.

    Article  PubMed  Google Scholar 

  64. Rostambeigi N. Editorial Comment: Outcomes of cryoablation and microwave ablation for pulmonary sarcoma metastases are comparable. AJR Am J Roentgenol. 2022;218(3):505. https://doi.org/10.2214/AJR.21.26942.

    Article  PubMed  Google Scholar 

  65. de Baere T, Auperin A, Deschamps F, Chevallier P, Gaubert Y, Boige V, et al. Radiofrequency ablation is a valid treatment option for lung metastases: experience in 566 patients with 1037 metastases. Ann Oncol. 2015;26(5):987–91. https://doi.org/10.1093/annonc/mdv037.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Littrup PJ, Aoun HD, Adam B, Krycia M, Prus M, Shields A. Percutaneous cryoablation of hepatic tumors: long-term experience of a large U.S. series. Abdom Radiol (NY). 2016;41(4):767–80. https://doi.org/10.1007/s00261-016-0687-x.

    Article  PubMed  Google Scholar 

  67. Demetri GD, von Mehren M, Blanke CD, Van den Abbeele AD, Eisenberg B, Roberts PJ, et al. Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumors. N Engl J Med. 2002;347(7):472–80. https://doi.org/10.1056/NEJMoa020461.

    Article  CAS  PubMed  Google Scholar 

  68. Jones RL, McCall J, Adam A, O’Donnell D, Ashley S, Al-Muderis O, et al. Radiofrequency ablation is a feasible therapeutic option in the multi modality management of sarcoma. Eur J Surg Oncol. 2010;36(5):477–82. https://doi.org/10.1016/j.ejso.2009.12.005.

    Article  CAS  PubMed  Google Scholar 

  69. Pawlik TM, Vauthey JN, Abdalla EK, Pollock RE, Ellis LM, Curley SA. Results of a single-center experience with resection and ablation for sarcoma metastatic to the liver. Arch Surg. 2006;141(6):537–43. https://doi.org/10.1001/archsurg.141.6.537. (discussion 43-4).

    Article  PubMed  Google Scholar 

  70. Patterson T, Li H, Chai J, Debruyns A, Simmons C, Hart J, et al. Locoregional treatments for metastatic gastrointestinal stromal tumor in British Columbia: a retrospective cohort study from January 2008 to December 2017. Cancers (Basel). 2022;14(6). https://doi.org/10.3390/cancers14061477

  71. Jung JH, Won HJ, Shin YM, Kim PN. Safety and efficacy of radiofrequency ablation for hepatic metastases from gastrointestinal stromal tumor. J Vasc Interv Radiol. 2015;26(12):1797–802. https://doi.org/10.1016/j.jvir.2015.09.002.

    Article  PubMed  Google Scholar 

  72. Hakime A, Le Cesne A, Deschamps F, Farouil G, Boudabous S, Auperin A, et al. A role for adjuvant RFA in managing hepatic metastases from gastrointestinal stromal tumors (GIST) after treatment with targeted systemic therapy using kinase inhibitors. Cardiovasc Intervent Radiol. 2014;37(1):132–9. https://doi.org/10.1007/s00270-013-0615-1.

    Article  PubMed  Google Scholar 

  73. Yoon IS, Shin JH, Han K, Kim PN, Kim KH, Kang YK, et al. Ultrasound-guided intraoperative radiofrequency ablation and surgical resection for liver metastasis from malignant gastrointestinal stromal tumors. Korean J Radiol. 2018;19(1):54–62. https://doi.org/10.3348/kjr.2018.19.1.54.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Gravel G, Yevich S, Tselikas L, Mir O, Teriitehau C, De Baere T, et al. Percutaneous thermal ablation: a new treatment line in the multidisciplinary management of metastatic leiomyosarcoma? Eur J Surg Oncol. 2017;43(1):181–7. https://doi.org/10.1016/j.ejso.2016.06.391.

    Article  CAS  PubMed  Google Scholar 

  75. Jennings JW, Prologo JD, Garnon J, Gangi A, Buy X, Palussiere J, et al. Cryoablation for palliation of painful bone metastases: the MOTION multicenter study. Radiol Imaging Cancer. 2021;3(2):e200101. https://doi.org/10.1148/rycan.2021200101.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Callstrom MR, Dupuy DE, Solomon SB, Beres RA, Littrup PJ, Davis KW, et al. Percutaneous image-guided cryoablation of painful metastases involving bone: multicenter trial. Cancer. 2013;119(5):1033–41. https://doi.org/10.1002/cncr.27793.

    Article  PubMed  Google Scholar 

  77. Levy J, Hopkins T, Morris J, Tran ND, David E, Massari F, et al. Radiofrequency ablation for the palliative treatment of bone metastases: outcomes from the Multicenter OsteoCool Tumor Ablation Post-Market Study (OPuS One Study) in 100 patients. J Vasc Interv Radiol. 2020;31(11):1745–52. https://doi.org/10.1016/j.jvir.2020.07.014.

    Article  PubMed  Google Scholar 

  78. • Mehta TI, Heiberger C, Kazi S, Brown M, Weissman S, Hong K, et al. Effectiveness of radiofrequency ablation in the treatment of painful osseous metastases: a correlation meta-analysis with machine learning cluster identification. J Vasc Interv Radiol. 2020;31(11):1753–62. https://doi.org/10.1016/j.jvir.2020.08.002. Meta-analysis demonstrating utility of radiofrequency ablation for palliation of painful osseous metastases.

    Article  PubMed  Google Scholar 

  79. Vaswani D, Wallace AN, Eiswirth PS, Madaelil TP, Chang RO, Tomasian A, et al. Radiographic local tumor control and pain palliation of sarcoma metastases within the musculoskeletal system with percutaneous thermal ablation. Cardiovasc Intervent Radiol. 2018;41(8):1223–32. https://doi.org/10.1007/s00270-018-1932-1.

    Article  PubMed  Google Scholar 

  80. Parvinian A, Schmitz JJ, Welch BT, Atwell TD, Morris JM, Woodrum DA, et al. A single-institution experience in percutaneous image-guided cryoablation of lymph node metastases. AJR Am J Roentgenol. 2021;217(1):152–6. https://doi.org/10.2214/AJR.20.22861.

    Article  PubMed  Google Scholar 

  81. Lu M, Yao W, Zhang T, Fan W, Zhong Z, Li J, et al. Feasibility and efficacy of microwave ablation combined with Iodine-125 seed implantation in local control of recurrent retroperitoneal liposarcomas: initial clinical experience. Oncologist. 2017;22(12):1500–5. https://doi.org/10.1634/theoncologist.2016-0499.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  82. Chen L, Wang M, Lin Z, Yao M, Wang W, Cheng S, et al. Mild microwave ablation combined with HSP90 and TGF-beta1 inhibitors enhances the therapeutic effect on osteosarcoma. Mol Med Rep. 2020;22(2):906–14. https://doi.org/10.3892/mmr.2020.11173.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  83. Thakur A, Littrup P, Paul EN, Adam B, Heilbrun LK, Lum LG. Induction of specific cellular and humoral responses against renal cell carcinoma after combination therapy with cryoablation and granulocyte-macrophage colony stimulating factor: a pilot study. J Immunother. 2011;34(5):457–67. https://doi.org/10.1097/CJI.0b013e31821dcba5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Yuanying Y, Lizhi N, Feng M, Xiaohua W, Jianying Z, Fei Y, et al. Therapeutic outcomes of combining cryotherapy, chemotherapy and DC-CIK immunotherapy in the treatment of metastatic non-small cell lung cancer. Cryobiology. 2013;67(2):235–40. https://doi.org/10.1016/j.cryobiol.2013.08.001.

    Article  CAS  PubMed  Google Scholar 

  85. Chen S, Zeng X, Su T, Xiao H, Lin M, Peng Z, et al. Combinatory local ablation and immunotherapies for hepatocellular carcinoma: rationale, efficacy, and perspective. Front Immunol. 2022;13:1033000. https://doi.org/10.3389/fimmu.2022.1033000.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. • Doshi A, Zhou M, Bui N, Wang DS, Ganjoo K, Hwang GL. Safety and feasibility of cryoablation during immunotherapy in patients with metastatic soft tissue sarcoma. J Vasc Interv Radiol. 2021;32(12):1688–94. https://doi.org/10.1016/j.jvir.2021.08.017. Retrospective study demonstrating the feasibility and safety of cryoablation and immunotherapy as combination therapy for treatment of metastatic soft tissue sarcoma.

    Article  PubMed  Google Scholar 

  87. Lundt JE, Allen SP, Shi J, Hall TL, Cain CA, Xu Z. Non-invasive, rapid ablation of tissue volume using histotripsy. Ultrasound Med Biol. 2017;43(12):2834–47. https://doi.org/10.1016/j.ultrasmedbio.2017.08.006.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Arnold L, Hendricks-Wenger A, Coutermarsh-Ott S, Gannon J, Hay AN, Dervisis N, et al. Histotripsy ablation of bone tumors: feasibility study in excised canine osteosarcoma tumors. Ultrasound Med Biol. 2021;47(12):3435–46. https://doi.org/10.1016/j.ultrasmedbio.2021.08.004.

    Article  PubMed  PubMed Central  Google Scholar 

  89. •• Vidal-Jove J, Serres X, Vlaisavljevich E, Cannata J, Duryea A, Miller R, et al. First-in-man histotripsy of hepatic tumors: the THERESA trial, a feasibility study. Int J Hyperthermia. 2022;39(1):1115–23. https://doi.org/10.1080/02656736.2022.2112309. First-in-human trial demonstrating the technical efficacy and safety of histotripsy, a non-invasive, non-thermal ablative modality using focused ultrasound to cause tissue destruction of primary or secondary liver tumors in eight patients.

    Article  PubMed  Google Scholar 

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AP, SMT, and JJS wrote the main manuscript text. DA prepared the figure. All authors reviewed the work, edited, and approved the version to be published.

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Parvinian, A., Thompson, S.M., Schmitz, J.J. et al. Update on Percutaneous Ablation for Sarcoma. Curr Oncol Rep (2024). https://doi.org/10.1007/s11912-024-01532-7

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