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  • Writer's pictureProf.Dr.Aykut Recep Aktaş

How does a breast cryoablation performed?

Breast cryoablation is a minimally invasive procedure that involves the use of extreme cold to destroy cancerous tissue within the breast. Here's an overview of how breast cryoablation is typically performed:

1. Preparation: Before the procedure, the patient will undergo a thorough evaluation, which may include imaging studies such as mammograms, breast ultrasounds, or MRI scans to precisely locate the tumor. The patient's medical history and overall health status will also be assessed to ensure they are a suitable candidate for cryoablation.

2. Anesthesia: Breast cryoablation is usually performed under local anesthesia, meaning the patient remains awake during the procedure but the area being treated is numbed to minimize discomfort. In some cases, mild sedation may be provided to help the patient relax.

3. Insertion of the Cryoablation Probe: Once the patient is prepared and the anesthesia is administered, the healthcare provider will insert a cryoablation probe into the breast. The probe is guided into position using imaging techniques such as ultrasound or MRI to ensure accurate placement within the tumor.

4. Freezing of the Tumor: Once the probe is properly positioned, liquid nitrogen or argon gas is circulated through the probe to create extreme cold temperatures. The freezing temperatures cause ice to form within the tumor, leading to cellular destruction. The surrounding healthy tissue is spared from damage due to the precise targeting of the cryoablation probe.

5. Monitoring and Control: Throughout the procedure, the healthcare provider monitors the freezing process using imaging techniques to ensure that the entire tumor is adequately treated while minimizing damage to surrounding tissue. Temperature sensors may also be used to monitor the temperature within the tumor and surrounding area.

6. Thawing Phase: After the tumor has been sufficiently frozen, the cryoablation probe is removed, and the tumor is allowed to thaw naturally. The body's immune system then works to eliminate the dead cancer cells over time.

7. Post-Procedure Care: Following the procedure, patients are typically monitored for a short period in the recovery area to ensure there are no immediate complications. Most patients can return home the same day. Pain medication may be prescribed to manage any discomfort, although many patients experience minimal pain or discomfort after cryoablation.

8. Follow-Up: Patients will require regular follow-up appointments with their healthcare provider to monitor the effectiveness of the treatment and assess for any signs of recurrence. This may involve imaging studies such as mammograms or breast ultrasounds, as well as clinical examinations.

Overall, breast cryoablation offers a minimally invasive alternative to traditional surgical methods for treating certain types of breast cancer. The procedure is generally well-tolerated, with low complication rates, and can often be performed on an outpatient basis, allowing patients to return to their normal activities more quickly. However, it's important for patients to discuss the risks, benefits, and suitability of cryoablation with their healthcare provider to determine if it is the right treatment option for them.

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