Percutaneous Cryoablation for Recurrent Head and Neck Tumors
Purpose To report techniques and results of 16 cryoablation procedures in 11 patients treated for recurrent head and neck cancer. Methods and Materials This retrospective study reviewed 11 consecutive patients with head and neck cancer recurrence after primary treatment by surgery and radiotherapy,...
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Veröffentlicht in: | Cardiovascular and interventional radiology 2022-06, Vol.45 (6), p.791-799 |
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creator | Schwartz, Jean Auloge, Pierre Koch, Guillaume Robinson, Joey Marie Garnon, Julien Cazzato, Roberto Luigi Perruisseau-Carrier, Joffrey Debry, Christian Gangi, Afshin |
description | Purpose
To report techniques and results of 16 cryoablation procedures in 11 patients treated for recurrent head and neck cancer.
Methods and Materials
This retrospective study reviewed 11 consecutive patients with head and neck cancer recurrence after primary treatment by surgery and radiotherapy, treated with cryoablation between 2016 and
2
020. Efficacy was measured by local control rate evaluated on MRI or/and PET. Tumor characteristics, number of cryoprobes, thermoprotective measures and complications were documented.
Results
Sixteen cryoablation procedures were performed in 11 patients with head and neck cancer recurrence after surgery or radiotherapy, deemed ineligible for classic salvage treatment. Among 11 patients, four were treated for an epidermoid carcinoma, four for an adenocarcinoma and three for other types: 1 muco-epidermoid carcinoma, 1 adenoid cystic carcinoma and 1 esthesioneuroblastoma, 10/11 patients had prior surgery, 7/11 patients had prior chemotherapy and 3/11 patients had prior radiotherapy. Median number of cryoprobes was 4, [IQR, 3–6 cryoprobes], thermoprotective measures to protect surrounding organs were required for 10/16 procedures. After cryoablation, local control rate was 45.4% at a mean follow-up of 11.7 months (range 3–34 months). Among the 16 cryoablation procedures, four resulted in complications, two were considered major complications: one septic shock on inhalation pneumopathy during extubation, requiring intensive care; and one dysphonia due to a recurrent nerve injury.
Conclusion
Cryoablation as a salvage treatment for recurrence of head and neck tumors after surgery and/or radiotherapy is an effective option, especially for patients that cannot benefit from salvage surgery. |
doi_str_mv | 10.1007/s00270-022-03120-3 |
format | Article |
fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03777635v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2647210672</sourcerecordid><originalsourceid>FETCH-LOGICAL-c339t-5034ae5559a1205f7e2b0a42693134032295483b4c38b6b401b2a8226d63fd403</originalsourceid><addsrcrecordid>eNp9kU1P3DAQhi0EKgv0D3BAkXoph5TxjD8SiQtaAYu0oghRqTfLSRxYyMbUTirx72sIH1IPnCx7nnnnHb-M7XP4wQH0UQRADTkg5kAcIacNNuOC0rVQvzfZDLgWOZeSb7OdGO8BuCxQfmHbJEkXiuOMHV-5UI-D7Z0fYzYPT95WnR1Wvs9aH7JrV48huH7IFs42me2b7NLVD9nNuPYh7rGt1nbRfX09d9mvs9Ob-SJf_jy_mJ8s85qoHHIJJKyTUpY2uZStdliBFahK4iSAEEspCqpETUWlKgG8QlsgqkZR2yRglx1Oune2M49htbbhyXi7MouTpXl-A9JaK5J_eWK_T-xj8H9GFwezXsXadd20okElNHJQGhP67T_03o-hT5skSikoE1UkCieqDj7G4Np3BxzMcw5mysGkHMxLDoZS08Gr9FitXfPe8vbxCaAJiKnU37rwMfsT2X9L2o5v</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2666090678</pqid></control><display><type>article</type><title>Percutaneous Cryoablation for Recurrent Head and Neck Tumors</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Schwartz, Jean ; Auloge, Pierre ; Koch, Guillaume ; Robinson, Joey Marie ; Garnon, Julien ; Cazzato, Roberto Luigi ; Perruisseau-Carrier, Joffrey ; Debry, Christian ; Gangi, Afshin</creator><creatorcontrib>Schwartz, Jean ; Auloge, Pierre ; Koch, Guillaume ; Robinson, Joey Marie ; Garnon, Julien ; Cazzato, Roberto Luigi ; Perruisseau-Carrier, Joffrey ; Debry, Christian ; Gangi, Afshin</creatorcontrib><description>Purpose
To report techniques and results of 16 cryoablation procedures in 11 patients treated for recurrent head and neck cancer.
Methods and Materials
This retrospective study reviewed 11 consecutive patients with head and neck cancer recurrence after primary treatment by surgery and radiotherapy, treated with cryoablation between 2016 and
2
020. Efficacy was measured by local control rate evaluated on MRI or/and PET. Tumor characteristics, number of cryoprobes, thermoprotective measures and complications were documented.
Results
Sixteen cryoablation procedures were performed in 11 patients with head and neck cancer recurrence after surgery or radiotherapy, deemed ineligible for classic salvage treatment. Among 11 patients, four were treated for an epidermoid carcinoma, four for an adenocarcinoma and three for other types: 1 muco-epidermoid carcinoma, 1 adenoid cystic carcinoma and 1 esthesioneuroblastoma, 10/11 patients had prior surgery, 7/11 patients had prior chemotherapy and 3/11 patients had prior radiotherapy. Median number of cryoprobes was 4, [IQR, 3–6 cryoprobes], thermoprotective measures to protect surrounding organs were required for 10/16 procedures. After cryoablation, local control rate was 45.4% at a mean follow-up of 11.7 months (range 3–34 months). Among the 16 cryoablation procedures, four resulted in complications, two were considered major complications: one septic shock on inhalation pneumopathy during extubation, requiring intensive care; and one dysphonia due to a recurrent nerve injury.
Conclusion
Cryoablation as a salvage treatment for recurrence of head and neck tumors after surgery and/or radiotherapy is an effective option, especially for patients that cannot benefit from salvage surgery.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-022-03120-3</identifier><identifier>PMID: 35378612</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adenocarcinoma ; Adenoid ; Cancer ; Carcinoma, Squamous Cell ; Cardiology ; Chemotherapy ; Clinical Investigation ; Complications ; Cryoprobes ; Cryosurgery - methods ; Head & neck cancer ; Head and Neck Neoplasms - diagnostic imaging ; Head and Neck Neoplasms - surgery ; Humans ; Imaging ; Inhalation ; Life Sciences ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Neoplasm Recurrence, Local - diagnostic imaging ; Neoplasm Recurrence, Local - surgery ; Neuroblastoma ; Non-Vascular Interventions ; Nuclear Medicine ; Olfactory epithelium ; Organs ; Patients ; Positron emission ; Radiation therapy ; Radiology ; Respiration ; Retrospective Studies ; Santé publique et épidémiologie ; Septic shock ; Surgery ; Tomography ; Treatment Outcome ; Tumors ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2022-06, Vol.45 (6), p.791-799</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2022</rights><rights>2022. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2022.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-5034ae5559a1205f7e2b0a42693134032295483b4c38b6b401b2a8226d63fd403</citedby><cites>FETCH-LOGICAL-c339t-5034ae5559a1205f7e2b0a42693134032295483b4c38b6b401b2a8226d63fd403</cites><orcidid>0000-0002-8637-4593</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-022-03120-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-022-03120-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35378612$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03777635$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwartz, Jean</creatorcontrib><creatorcontrib>Auloge, Pierre</creatorcontrib><creatorcontrib>Koch, Guillaume</creatorcontrib><creatorcontrib>Robinson, Joey Marie</creatorcontrib><creatorcontrib>Garnon, Julien</creatorcontrib><creatorcontrib>Cazzato, Roberto Luigi</creatorcontrib><creatorcontrib>Perruisseau-Carrier, Joffrey</creatorcontrib><creatorcontrib>Debry, Christian</creatorcontrib><creatorcontrib>Gangi, Afshin</creatorcontrib><title>Percutaneous Cryoablation for Recurrent Head and Neck Tumors</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To report techniques and results of 16 cryoablation procedures in 11 patients treated for recurrent head and neck cancer.
Methods and Materials
This retrospective study reviewed 11 consecutive patients with head and neck cancer recurrence after primary treatment by surgery and radiotherapy, treated with cryoablation between 2016 and
2
020. Efficacy was measured by local control rate evaluated on MRI or/and PET. Tumor characteristics, number of cryoprobes, thermoprotective measures and complications were documented.
Results
Sixteen cryoablation procedures were performed in 11 patients with head and neck cancer recurrence after surgery or radiotherapy, deemed ineligible for classic salvage treatment. Among 11 patients, four were treated for an epidermoid carcinoma, four for an adenocarcinoma and three for other types: 1 muco-epidermoid carcinoma, 1 adenoid cystic carcinoma and 1 esthesioneuroblastoma, 10/11 patients had prior surgery, 7/11 patients had prior chemotherapy and 3/11 patients had prior radiotherapy. Median number of cryoprobes was 4, [IQR, 3–6 cryoprobes], thermoprotective measures to protect surrounding organs were required for 10/16 procedures. After cryoablation, local control rate was 45.4% at a mean follow-up of 11.7 months (range 3–34 months). Among the 16 cryoablation procedures, four resulted in complications, two were considered major complications: one septic shock on inhalation pneumopathy during extubation, requiring intensive care; and one dysphonia due to a recurrent nerve injury.
Conclusion
Cryoablation as a salvage treatment for recurrence of head and neck tumors after surgery and/or radiotherapy is an effective option, especially for patients that cannot benefit from salvage surgery.</description><subject>Adenocarcinoma</subject><subject>Adenoid</subject><subject>Cancer</subject><subject>Carcinoma, Squamous Cell</subject><subject>Cardiology</subject><subject>Chemotherapy</subject><subject>Clinical Investigation</subject><subject>Complications</subject><subject>Cryoprobes</subject><subject>Cryosurgery - methods</subject><subject>Head & neck cancer</subject><subject>Head and Neck Neoplasms - diagnostic imaging</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Imaging</subject><subject>Inhalation</subject><subject>Life Sciences</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasm Recurrence, Local - diagnostic imaging</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Neuroblastoma</subject><subject>Non-Vascular Interventions</subject><subject>Nuclear Medicine</subject><subject>Olfactory epithelium</subject><subject>Organs</subject><subject>Patients</subject><subject>Positron emission</subject><subject>Radiation therapy</subject><subject>Radiology</subject><subject>Respiration</subject><subject>Retrospective Studies</subject><subject>Santé publique et épidémiologie</subject><subject>Septic shock</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1P3DAQhi0EKgv0D3BAkXoph5TxjD8SiQtaAYu0oghRqTfLSRxYyMbUTirx72sIH1IPnCx7nnnnHb-M7XP4wQH0UQRADTkg5kAcIacNNuOC0rVQvzfZDLgWOZeSb7OdGO8BuCxQfmHbJEkXiuOMHV-5UI-D7Z0fYzYPT95WnR1Wvs9aH7JrV48huH7IFs42me2b7NLVD9nNuPYh7rGt1nbRfX09d9mvs9Ob-SJf_jy_mJ8s85qoHHIJJKyTUpY2uZStdliBFahK4iSAEEspCqpETUWlKgG8QlsgqkZR2yRglx1Oune2M49htbbhyXi7MouTpXl-A9JaK5J_eWK_T-xj8H9GFwezXsXadd20okElNHJQGhP67T_03o-hT5skSikoE1UkCieqDj7G4Np3BxzMcw5mysGkHMxLDoZS08Gr9FitXfPe8vbxCaAJiKnU37rwMfsT2X9L2o5v</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Schwartz, Jean</creator><creator>Auloge, Pierre</creator><creator>Koch, Guillaume</creator><creator>Robinson, Joey Marie</creator><creator>Garnon, Julien</creator><creator>Cazzato, Roberto Luigi</creator><creator>Perruisseau-Carrier, Joffrey</creator><creator>Debry, Christian</creator><creator>Gangi, Afshin</creator><general>Springer US</general><general>Springer Nature B.V</general><general>Cardiovascular and Interventional Radiological Society of Europe (CIRSE)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-8637-4593</orcidid></search><sort><creationdate>202206</creationdate><title>Percutaneous Cryoablation for Recurrent Head and Neck Tumors</title><author>Schwartz, Jean ; Auloge, Pierre ; Koch, Guillaume ; Robinson, Joey Marie ; Garnon, Julien ; Cazzato, Roberto Luigi ; Perruisseau-Carrier, Joffrey ; Debry, Christian ; Gangi, Afshin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-5034ae5559a1205f7e2b0a42693134032295483b4c38b6b401b2a8226d63fd403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adenocarcinoma</topic><topic>Adenoid</topic><topic>Cancer</topic><topic>Carcinoma, Squamous Cell</topic><topic>Cardiology</topic><topic>Chemotherapy</topic><topic>Clinical Investigation</topic><topic>Complications</topic><topic>Cryoprobes</topic><topic>Cryosurgery - methods</topic><topic>Head & neck cancer</topic><topic>Head and Neck Neoplasms - diagnostic imaging</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Imaging</topic><topic>Inhalation</topic><topic>Life Sciences</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neoplasm Recurrence, Local - diagnostic imaging</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Neuroblastoma</topic><topic>Non-Vascular Interventions</topic><topic>Nuclear Medicine</topic><topic>Olfactory epithelium</topic><topic>Organs</topic><topic>Patients</topic><topic>Positron emission</topic><topic>Radiation therapy</topic><topic>Radiology</topic><topic>Respiration</topic><topic>Retrospective Studies</topic><topic>Santé publique et épidémiologie</topic><topic>Septic shock</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwartz, Jean</creatorcontrib><creatorcontrib>Auloge, Pierre</creatorcontrib><creatorcontrib>Koch, Guillaume</creatorcontrib><creatorcontrib>Robinson, Joey Marie</creatorcontrib><creatorcontrib>Garnon, Julien</creatorcontrib><creatorcontrib>Cazzato, Roberto Luigi</creatorcontrib><creatorcontrib>Perruisseau-Carrier, Joffrey</creatorcontrib><creatorcontrib>Debry, Christian</creatorcontrib><creatorcontrib>Gangi, Afshin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwartz, Jean</au><au>Auloge, Pierre</au><au>Koch, Guillaume</au><au>Robinson, Joey Marie</au><au>Garnon, Julien</au><au>Cazzato, Roberto Luigi</au><au>Perruisseau-Carrier, Joffrey</au><au>Debry, Christian</au><au>Gangi, Afshin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous Cryoablation for Recurrent Head and Neck Tumors</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2022-06</date><risdate>2022</risdate><volume>45</volume><issue>6</issue><spage>791</spage><epage>799</epage><pages>791-799</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To report techniques and results of 16 cryoablation procedures in 11 patients treated for recurrent head and neck cancer.
Methods and Materials
This retrospective study reviewed 11 consecutive patients with head and neck cancer recurrence after primary treatment by surgery and radiotherapy, treated with cryoablation between 2016 and
2
020. Efficacy was measured by local control rate evaluated on MRI or/and PET. Tumor characteristics, number of cryoprobes, thermoprotective measures and complications were documented.
Results
Sixteen cryoablation procedures were performed in 11 patients with head and neck cancer recurrence after surgery or radiotherapy, deemed ineligible for classic salvage treatment. Among 11 patients, four were treated for an epidermoid carcinoma, four for an adenocarcinoma and three for other types: 1 muco-epidermoid carcinoma, 1 adenoid cystic carcinoma and 1 esthesioneuroblastoma, 10/11 patients had prior surgery, 7/11 patients had prior chemotherapy and 3/11 patients had prior radiotherapy. Median number of cryoprobes was 4, [IQR, 3–6 cryoprobes], thermoprotective measures to protect surrounding organs were required for 10/16 procedures. After cryoablation, local control rate was 45.4% at a mean follow-up of 11.7 months (range 3–34 months). Among the 16 cryoablation procedures, four resulted in complications, two were considered major complications: one septic shock on inhalation pneumopathy during extubation, requiring intensive care; and one dysphonia due to a recurrent nerve injury.
Conclusion
Cryoablation as a salvage treatment for recurrence of head and neck tumors after surgery and/or radiotherapy is an effective option, especially for patients that cannot benefit from salvage surgery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35378612</pmid><doi>10.1007/s00270-022-03120-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8637-4593</orcidid></addata></record> |
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source | MEDLINE; SpringerLink Journals |
subjects | Adenocarcinoma Adenoid Cancer Carcinoma, Squamous Cell Cardiology Chemotherapy Clinical Investigation Complications Cryoprobes Cryosurgery - methods Head & neck cancer Head and Neck Neoplasms - diagnostic imaging Head and Neck Neoplasms - surgery Humans Imaging Inhalation Life Sciences Magnetic resonance imaging Medicine Medicine & Public Health Neoplasm Recurrence, Local - diagnostic imaging Neoplasm Recurrence, Local - surgery Neuroblastoma Non-Vascular Interventions Nuclear Medicine Olfactory epithelium Organs Patients Positron emission Radiation therapy Radiology Respiration Retrospective Studies Santé publique et épidémiologie Septic shock Surgery Tomography Treatment Outcome Tumors Ultrasound |
title | Percutaneous Cryoablation for Recurrent Head and Neck Tumors |
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