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Percutaneous Radiofrequency Ablation of Ovarian Cancer Metastasis to the Liver: Indications, Outcomes, and Role in Patient Management

Debra A. Gervais1, Ronald S. Arellano1 and Peter R. Mueller1

1 All authors: Department of Radiology, Massachusetts General Hospital, 55 Fruit St., White 270, Boston, MA 02114.


Figure 1
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Fig. 1A 48-year-old woman. Enhanced CT scan of abdomen shows focal hepatic metastatic lesion (arrow) from ovarian cancer.

 

Figure 2
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Fig. 1B 48-year-old woman. Unenhanced CT scan at radiofrequency ablation shows straight needle electrode with tip (arrow) in tumor.

 

Figure 3
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Fig. 1C 48-year-old woman. Enhanced CT scan 1 month after radiofrequency ablation shows large zone of ablation (arrow) encompassing tumor and margin of normal liver.

 

Figure 4
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Fig. 1D 48-year-old woman. Enhanced CT scan 1.5 years after radiofrequency ablation shows involution of zone of ablation (arrow).

 

Figure 5
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Fig. 2A 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. Unenhanced CT scan at radiofrequency ablation shows large liver tumor (arrow) from ovarian cancer.

 

Figure 6
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Fig. 2B 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. Unenhanced CT scan at radiofrequency ablation shows multitined electrode (arrow) deployed into tumor.

 

Figure 7
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Fig. 2C 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. Enhanced CT scan 9 months after radiofrequency ablation shows involution of zone of ablation (arrow).

 

Figure 8
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Fig. 2D 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. Enhanced CT scan 9 months after radiofrequency ablation along caudal aspect of zone of ablation (arrow) shows that this area is slightly denser, raising possibility of enhancement versus volume-averaging artifact.

 

Figure 9
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Fig. 2E 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. FDG PET scan shows area in question (arrow) is FDG avid and represents recurrent tumor.

 

Figure 10
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Fig. 2F 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. FDG PET scan after second ablation session shows absence of uptake in zone of ablation (arrow), confirming complete treatment.

 

Figure 11
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Fig. 2G 80-year-old woman with 5.3-cm hepatic metastatic lesion from ovarian cancer. Enhanced CT scan 1 year after second ablation shows stable zone of ablation (arrow).

 

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