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Published byCaroline Nelson Modified over 6 years ago
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Percutaneous CT-guided irreversible electroporation followed by chemotherapy as a novel neoadjuvant protocol in locally advanced pancreatic cancer: Our preliminary experience Maria Paola Belfiore, Francesco Michele Ronza, Francesco Romano, Giovanni Pietro Ianniello, Guido De Lucia, Concetta Gallo, Carmela Marsicano, Teresa Letizia Di Gennaro, Giuseppe Belfiore International Journal of Surgery Volume 21, Pages S34-S39 (September 2015) DOI: /j.ijsu Copyright © 2015 IJS Publishing Group Limited Terms and Conditions
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Fig. 1 60 year-old man with pancreatic cancer of the isthmus treated by insertion of 5 needles, as showed by CT volumetric reconstruction (1a) and patient image during treatment (1b). International Journal of Surgery , S34-S39DOI: ( /j.ijsu ) Copyright © 2015 IJS Publishing Group Limited Terms and Conditions
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Fig. 2 57-year-old-woman with unresectable tumor of the head producing biliary obstruction treated by biliary drainage. The patient underwent IRE with a 3 needles insertion, as showed by CT axial image (2a) and volumetric reconstruction (2b). International Journal of Surgery , S34-S39DOI: ( /j.ijsu ) Copyright © 2015 IJS Publishing Group Limited Terms and Conditions
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Fig. 3 79-year-old man with unresectable tumor of the head of the pancreas treated by 5 needles insertion; CT reconstructions on coronal (3a), sagittal (3b) and axial planes (3c) show needles tip position into the lesion to cover the entire mass. At 1-month follow-up control mesenteric vein was free from tumor invasion (3d). The patient underwent surgery 6 months after ablation thanks to tumor downstaging. International Journal of Surgery , S34-S39DOI: ( /j.ijsu ) Copyright © 2015 IJS Publishing Group Limited Terms and Conditions
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Fig. 4 60-year-old man with unresectable pancreatic lesion of the body-tail (4a) treated by 2 needles insertion (4b). Thanks to lesion shrinkage after IRE (4c), the patient underwent surgery, with no disease progression at 12 months follow-up imaging (4d). International Journal of Surgery , S34-S39DOI: ( /j.ijsu ) Copyright © 2015 IJS Publishing Group Limited Terms and Conditions
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