Current Oncology (May 2023)

Cryoablation and Immunotherapy: An Enthralling Synergy for Cancer Treatment

  • Zain al Abidine Medlej,
  • Wassim Medlej,
  • Sami Slaba,
  • Pedro Torrecillas,
  • Antonio Cueto,
  • Alberto Urbaneja,
  • Adolfo Jimenes Garrido,
  • Franco Lugnani

DOI
https://doi.org/10.3390/curroncol30050365
Journal volume & issue
Vol. 30, no. 5
pp. 4844 – 4860

Abstract

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As less invasive options for surgical tumor removal, minimally invasive ablative techniques have gained popularity. Several solid tumors are being treated with cryoablation, a non-heat-based ablation technique. Cryoablation data in comparison over time demonstrates better tumor response and faster recovery. Combining cryosurgery with other cancer therapies has been explored to improve the cancer-killing process. Cryoablation with the combination of immunotherapy, results in a robust and efficient attack on the cancer cells. This article focuses on investigating the ability of cryosurgery to create a strong antitumor response when combined with immunologic agents resulting in a synergetic effect. To achieve this objective, we combined cryosurgery with immunotherapy using Nivolumab and lpilimumab. Five clinical cases of lymph node, lung cancer, bone, and lung metastasis were followed and analyzed. In this series of patients, percutaneous cryoablation and addressing immunity agents were technically feasible. In the follow-ups, there appeared to be no radiological evidence of new tumor development.

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