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Irreversible electroporation and sarcomas: where do we stand?

Michail Vailas1, Athanasios Syllaios, Natasha Hashemaki

  • 1First Department of Surgery, National and Kapodistrian University of Athens, Athens, Greece.

Journal of B.U.ON. : Official Journal of the Balkan Union of Oncology
|October 25, 2019
PubMed
Summary

Irreversible electroporation (IRE) offers a promising new treatment for advanced sarcomas, especially when surgery is not feasible. This ablative technique shows potential for improving survival in complex cancer cases.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Medical Technology

Background:

  • Sarcomas originate from mesodermal tissues and are primarily treated with surgical resection.
  • Tumor proximity to vital structures often complicates surgical management of sarcomas.
  • New ablative techniques are being explored for challenging sarcoma cases.

Purpose of the Study:

  • To review the current knowledge and future perspectives of Irreversible electroporation (IRE) in sarcoma management.
  • To assess the potential of IRE as a therapeutic option for advanced or metastatic sarcomas.

Main Methods:

  • Literature review of studies on Irreversible electroporation (IRE) for sarcoma treatment.
  • Analysis of IRE's efficacy and safety in preclinical and clinical settings.
  • Evaluation of IRE's application in sarcomas adjacent to critical anatomical structures.

Main Results:

  • Irreversible electroporation (IRE) has demonstrated promising results in treating various solid tumors, including sarcomas.
  • IRE has shown survival improvement in primarily inoperable and locally advanced cancers.
  • The technique is particularly noted for its effectiveness in tumors near vital structures.

Conclusions:

  • Irreversible electroporation (IRE) may represent a viable therapeutic option for patients with advanced or metastatic sarcomas.
  • IRE offers a potential alternative when conventional surgical resection is not indicated or feasible.
  • Further research is warranted to establish IRE's role in the multidisciplinary management of sarcomas.