Cryoablation and its role in the treatment of breast diseases

Canva Two Person Doing Surgery Inside Room 800x360 1 - PanAsia Surgery, Singapore - January, 2023

What is cryoablation?

Cryoablation is a form of minimally-invasive treatment that uses extreme cold to destroy diseased tissues, including cancer cells.  Its application in the treatment of breast diseases include a) treatment of fibroadenoma and b) treatment of (selected) breast cancer. 

How is it performed?

Cryoablation can be performed under local anesthesia alone or in combination with sedation.  

A thin specialized needle called the cryoprobe is introduced into the breast via a 5-mm incision and guided to the target lesion with the use of an ultrasound.  Once precise placement of the cryoprobe is confirmed, extreme cold temperature is then created, which freezes and destroys the target tissue.  An ice ball is formed and its size monitored throughout the procedure.  Once the ice ball reaches the desired pre-calculated size, thawing begins.  At the end of the procedure, the needle is removed and the incision dressed.  The dead area of tissue is then rid by the body over time via natural processes.

Treatment of fibroadenoma

Fibroadenoma is a benign lump in the breast.  While many patients do not require treatment, some patients experience physical deformity or discomfort due to its size.  Cryoablation has been approved as a safe and effective therapy for treating fibroadenomas without the need for procedure to remove it.  It has also been shown that cryoablation of fibroadenoma causes minimal, if any, scar tissue in the treated area.  Because there is no ‘cutting’ involved, there is also no deformity. 

Breast Cancer Treatment

Currently, the mainstay for achieving local tumour control is surgery, which is mastectomy with or without reconstruction or breast-conserving surgery with radiation therapy.  

Cryoablation is not currently considered as one of the mainstream treatment options for breast cancer treatment in Singapore.  However, there is promising short-term data showing the usefulness and effectiveness of cryoablation in the treatment of (selected) early-stage breast cancer.  Compared to the other forms of breast cancer treatment in Singapore, cryoablation is minimally invasive, causes little discomfort post procedure, and does not result in deformity. 

Cryoablation for breast cancer is performed in similar concept to breast-conserving surgery.  

That is, the cancer and a rim of tissue surrounding it (the ‘margin’) are treated.  In surgery, the area of breast tissue is removed; with cryoablation, the area is treated with extreme cold—via the application of the cryoprobe as explained above—and left inside the body for clearance via natural processes.   Researchers believe that this allows the body’s immune system to recognise a certain type of cancer protein called the tumour antigen that is left behind post cryoablation, and to become better equipped at responding to cancer recurrence.  

Post procedure, patient experiences very little downtime.  The wound is essentially the size of the needle hole.  Patient will require radiation therapy to the rest of the breast, as well as receive the other appropriate adjuvant for breast cancer treatment in Singapore.

Hear from Our Patients

"I went for a colonoscopy, gastroscopy, and hemorrhoidectomy procedure with Dr Melvin Look. It was nerve wrecking for me to go under general anesthesia (GA) but Dr Look eased my fears with his calm and confident demeanour along with his funny disposition. Had a smooth and successful procedure with attentive pre- and post-op care from Dr Look who has been very patient with all my questions before and after the surgery!"

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I met Dr Sam Peh in 2018 when I was admitted to parkway east hospital for acute unrinary retention . Subsequently in the same year I had TURP procedure .Some tissues from TURP was found to be cancerous . We just monitor the situation on 6 monthly psa reading In 2020 the psa reading spiked and am MRI scan shows 2 lesions in the prostate Dr. Peh give me the option to burn the 2 lesions using the HIFU technology. I’m glad to use HIFU as the downtime was like only a day. Dr Peh always explain the procedures to me using simple layman’s language and with drawings as illustrations. I feel safe and confident with Dr Peh as my urologist.

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I was worried about my constant bloatedness , nauseous & poor appetite in eating . I was not eating well at all for 4 months. I decided to seek help from Dr Melvin Look and was scheduled very quickly for a scope - to give me a peace of mind. Nursing team was also assuring and patient with me when I had questions on insurance & costing . I was very well advised at every step of the way! Thank you Dr Look and to the nurses who attended to me at pan asia!

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