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Focused microwave phased array thermotherapy for primary breast cancer
Robert A Gardner1, Hernan I Vargas, Jerome B Block
1Center for Breast Care, Columbia Hospital, West Palm Beach, Florida 33407, USA. rgbeastmd@aol.com
Annals of Surgical Oncology
|May 3, 2002
Summary
Focused microwave phased array thermotherapy is a safe treatment for breast cancer. This pilot study showed potential efficacy, with significant tumor size reduction in 60% of patients and tumor response in 80%.
Area of Science:
- Oncology
- Medical Physics
- Thermotherapy
Background:
- A pilot safety study investigated focused microwave phased array thermotherapy for primary breast carcinomas.
- The study aimed to evaluate the safety and potential efficacy of this novel treatment modality.
Purpose of the Study:
- To assess the safety and preliminary efficacy of focused microwave phased array thermotherapy in patients with primary breast carcinomas.
- To determine the feasibility of delivering a specific tumor thermal dose using this technology.
Main Methods:
- Ten patients with superficial breast carcinomas (1-8 cm) were treated with focused microwave phased array thermotherapy in the prone position.
- The planned tumor thermal dose was 60 minutes at 43°C, with efficacy assessed via breast imaging and pathology.
- Adequate skin cooling was employed during treatment.
Main Results:
- The mean delivered tumor equivalent thermal dose was 51.7 minutes at a mean peak tumor temperature of 44.9°C.
- Ultrasound imaging revealed a mean tumor size reduction of 41% in 60% of patients 5-18 days post-treatment.
- A significant tumor response (size reduction or cell kill) was observed in 80% of the patients.
Conclusions:
- Focused microwave phased array thermotherapy is safe for treating breast carcinomas when combined with adequate skin cooling.
- The study demonstrated potential efficacy, supporting further investigation into increased tumor thermal doses for improved breast conservation.
- Larger patient population studies are recommended to confirm efficacy and optimize treatment parameters.