Comparison of Microwave Ablation With Breast Conserving Surgery for Breast Tumor
Breast Tumor, Microwave Ablation, Breast Conserving Surgery
About this trial
This is an interventional treatment trial for Breast Tumor
Eligibility Criteria
Inclusion Criteria:
- women,
- with invasive ductal carcinoma of the breast according to core-needle
- tumor measuring 50mm or smaller, no axillary lymph node metastasis or Ipsilateral grade I and II axillary lymph node metastasis, movable(pT0-2N0-1M0 )
- located at least 10 mm from the skin surface and chest wall.
Exclusion Criteria:
- men
- women who were pregnant or breastfeeding
- radiologic suspicion of multifocality or extensive intraductal carcinoma
- histologic diagnosis of lobular carcinoma
- neoadjuvant therapy
- previous surgery or radiation therapy of the ipsilateral breast.
Sites / Locations
- Chinese PLA General HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
microwave ablation
breast conserving surgery
Microwave ablation(MWA)refers to all electromagnetic methods of inducing tumor destruction by using devices with frequencies greater than or equal to 900MHz. The rotation of dipole molecules accounts for most of the heat generated during MWA. Water molecules as dipoles attempt to continuously reorient at the same rate in microwave's oscillating electric field. As a result of microwave transmission, the water molecules flip back and forth billions of times a second. The vigorous movement of water molecules produce friction and heat, thus inducing cellular death via coagulation necrosis. The microwave unit (KY-2000, Kangyou Medical, Nanjing, China) is capable of producing 100 Watts of power at 2450 MHz.The needle antenna has a diameter of 1.6 mm (16G) and a length of 10 cm. The active tip length is 3mm and 5mm.
Breast-conserving surgery refers to the removal of the primary tumor and adjacent breast tissue, supplemented by postoperative radiotherapy.Its principle is to remove the primary tumor completely while meet patient's cosmetic satisfaction.The combined treatment of early breast cancer with radiotherapy and chemotherapy is the same as radical surgery or modified radical surgery in terms of local and regional control rate and long-term survival rate. Breast conserving surgery and postoperative comprehensive treatment have become one of the main methods for the treatment of early breast cancer.