Microwave Ablation in Managing Lung Cancer: A Case Report

Main Article Content

Sawang Saenghirunvattana, MD
Chittisak Napairee, MD
Somsak Geraplangsub, MD


Lung tumors are effectively managed through surgery. But for inoperable lung cancers such as in advanced stages, poor respiratory function and other diseases like pulmonary inflammatory myofibroblastic tumor (PIMT), minimal invasive techniques like percutaneous microwave ablation (MWA) therapy is the preferred treatment option. MWA is a curative alternative approach used to destroy malignant tumor cells with minimal normal tissue damage. This instrument uses high frequency microwave energy waves that produce tissue-heating effects to destruct solid tumors. The purpose of this case report is to illustrate how MWA effectively managed four various cases of lung cancer.

Article Details

How to Cite
Saenghirunvattana S, Napairee C, Geraplangsub S. Microwave Ablation in Managing Lung Cancer: A Case Report. BKK Med J [Internet]. 2019 Feb. 20 [cited 2024 Apr. 12];15(1):73. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/222701
Case Report


1. Ko WC, Lee YF, Chen YC, et al. CT-guided percutaneousmicrowave ablation of pulmonary malignant tumors. J ThoracDis 2016;8 (Suppl 9): S659-S665.
2. Deschamps C, Pairolero PC, Trastek VF, et al. Multipleprimary lung cancers. Results of surgical treatment. J ThoracCardiovasc Surg 1990;99:769-77.
3. Wei Z, Wang J, Ye X, et al. Computed tomography-guidedpercutaneous microwave ablation of early stage non-smallcell lung cancer in a pneumonectomy patient. ThoracicCancer 2016;7:151-3.
4. Hammas N, Chbani L, Rami M, et al. A rare tumor of the lung:inflammatory myofibroblastic tumor. Diagnostic Pathology2012;7:83.
5. Almadi A, Rami M, Khattala K, et al. Pseudotumeurinflammatoire pulmonaire chez un enfant. J Pediatr Puericulture2011;24:68-71
6. Pinilla I, Herreroa Y, Toressa MI, et al. Tumor inflamatoriomiofibroblastico pulmonary. Radiologa 2007;49:53-5.
7. Chien-Kuang C, Chia-lng J, Jian-Shun T, et al. Inflammatorymyofibroblastic tumor of the lung –a case report. JCardiothorac Surg 2010;5:55.
8. Racil H, Saad S, Ben Amar J, et al. Pseudotumeurinflammatoire pulmonaire invasive. Revu Med interne2011;32:e55-e58.
9. Yu J, Li W, Li D, et al. Pulmonary inflammatorymyofibroblastic tumor mimics lung cancer. Thoracic Cancer2014;5:271-4.
10. Panagiotopoulos N, Patrini D, Gvinianidze L, et al.Inflammatory myofibroblastic tumour of the lung: a reactivelesion or a true neoplasm? J Thoracr Dis 2015;7(5):908-11.
11. Demirhan O, Ozkara S, Yaman M, et al. A rare benign tumorof the lung: Inflammatory myofibroblastic tumor- Case report.Respir Med Case Rep 2013;8:32-5.
12. Alberti W, Anderson G, Bartolucci A, et al. Chemotherapy innon-small cell lung cancer: a meta-analysis using updated dataon individual patients from 52 randomized clinical trials.Non-small Cell Lung Cancer Collaborative Group. BMJ1995;311:899-909.
13. Zhou C, Wu YL, Chen G, et al. Erlotonib versus chemotherapyas first-line treatment for patients with advancedEGFR mutation-positive non-small-cell lung cancer(OPTIMAL, CTONG-0802): a multicenter, open-label,radomised, phase 3 study, Lancet Oncol 2011;12:735-42.
14. Wulf J, Haedinger U, Oppitz U, et al. Stereotactic radiotherapyfor primary lung cancer and pulmonary metastases: anoninvasive treatment approach in medically inoperablepatients. Int J Radiat Oncol Biol Phys 2004;60:186-96.
15. Dupuy DE. Image-guided thermal ablation of lungmalignancies. Radiology 2011;260:633-55
16. Alexander ES and Dupuy DE. Lung Cancer Ablation:Technologies and Techniques. Semin Intervent Radiol2013;30:141-50.
17. Robinson LA, Ruckdeschel JC, Wagner H Jr, Stevens CW;American College of Chest Physicians. Treatment ofnon-small cell lung cancer-stage IIIA: ACCP evidence-basedclinical practice guidelines (2nd edition). Chest 2007;132(3Suppl):2435-65S.
18. Wolf FJ, Grand DJ, Machan JT, et al. Microwave ablation oflung malignancies; effectiveness, CT findings, and safety in50 patients. Radiology 2008;247(3):871-9.
19. Lu Q, Cao W, Huang L, et al. CT-Guided percutaneousmicrowave ablation of pulmonary malignancies: results in 69cases. World J Surg Oncol 2012;10:80.
20. Belfiore G, Ronza F, Belfiore MP, et al. Patients’ survival inlung malignancies treated by microwave ablation: ourexperience on 56 patients. Eur J Radiol 2013;82(1):177-81.
21. Smith SL and Jennings PR. Lung radiofrequency andmicrowave ablation: a review of indications, techniques andpost-procedural imaging appearances. Br J Radiol2015;88:20140598.
22. Steinke K, King J, Glenn D, et al. Radiologic appearance andcomplications of percutaneous computed tomography-guidedradiofrequency ablated pulmonary metastases from colorectalcarcinoma. J Comput Assist Tomogr 2003;27:750-7.