Chen YW, Yang HZ, Zhao SS, Zhang Z, Chen ZM, Feng HH, An MH, Wang KK, Duan R, Chen BD. Ultrasound-guided microwave ablation as a palliative treatment for mycosis fungoides eyelid involvement: A case report. World J Clin Cases 2022; 10(17): 5825-5832 [PMID: 35979116 DOI: 10.12998/wjcc.v10.i17.5825]
Corresponding Author of This Article
Bao-Ding Chen, MD, Doctor, Professor, Department of Medical Ultrasound, The Affiliated Hospital of Jiangsu University, No. 438 Jiefang Road, Zhenjiang 212000, Jiangsu Province, China. alphalife@163.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2022; 10(17): 5825-5832 Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5825
Ultrasound-guided microwave ablation as a palliative treatment for mycosis fungoides eyelid involvement: A case report
Yan-Wei Chen, Hai-Zhen Yang, Shuang-Shuang Zhao, Zheng Zhang, Zhe-Ming Chen, Hua-Hui Feng, Mao-Hui An, Ke-Ke Wang, Ran Duan, Bao-Ding Chen
Yan-Wei Chen, Hai-Zhen Yang, Shuang-Shuang Zhao, Zheng Zhang, Zhe-Ming Chen, Hua-Hui Feng, Mao-Hui An, Ke-Ke Wang, Ran Duan, Bao-Ding Chen, Department of Medical Ultrasound, The Affiliated Hospital of Jiangsu University, Zhenjiang 212000, Jiangsu Province, China
Author contributions: Chen YW, Wang KK and An MH contributed to collecting the data; Chen YW and Yang HZ were responsible for writing and editing the manuscript; Chen BD and Duan R performed the operation; Zhao SS, Zhang Z, Chen ZM and Feng HH reviewed the manuscript; all authors read and approved the final manuscript.
Supported byZhenjiang Social Development Fund, No. SH2021028; Zhenjiang Social Development Fund, No. SH2018035; and the “169” Project of Zhenjiang City, No. YLJ201931.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images before the microwave ablation.
Conflict-of-interest statement: The authors report no conflicts of interest in this work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bao-Ding Chen, MD, Doctor, Professor, Department of Medical Ultrasound, The Affiliated Hospital of Jiangsu University, No. 438 Jiefang Road, Zhenjiang 212000, Jiangsu Province, China. alphalife@163.com
Received: December 6, 2021 Peer-review started: December 6, 2021 First decision: March 7, 2022 Revised: March 11, 2022 Accepted: April 3, 2022 Article in press: April 3, 2022 Published online: June 16, 2022 Processing time: 184 Days and 23.9 Hours
Abstract
BACKGROUND
Mycosis fungoides (MF) is a form of lymphoma derived from heterogeneous T cells, and eyelid involvement is extremely rare. The common methods to treat eyelid involvement are radiotherapy and chemotherapy, but their efficacies are limited. Herein, we report a case of advanced-stage MF eyelid involvement, propose ultrasound (US)-guided microwave ablation (MWA) therapy and present a literature review.
CASE SUMMARY
A male patient was admitted to our hospital in June 2018 and diagnosed with MF via radiological and histopathological examinations. The patient’s condition was not well controlled by various conventional chemotherapies. US-guided MWA was performed to relieve the patient’s symptoms and improve his quality of life, showing satisfactory efficacy.
CONCLUSION
Eyelid involvement is one of the most troublesome clinical problems for advanced-stage MF patients. This is the first report on the use of US-guided MWA as a palliative therapy for MF eyelid involvement; the treatment successfully relieved the patient’s clinical symptoms and reduced his anxiety behaviours. Our study sheds new light on methods for improving the clinical management of eyelid involvement in MF.
Core Tip: In this case report, we propose the use of ultrasound-guided percutaneous microwave ablation for the treatment of advanced mycosis fungoides eyelid involvement. Compared with traditional surgical methods, it has less trauma, faster recovery and fewer side effects. As a palliative treatment method, it can greatly alleviate the patient's clinical symptoms and improve the quality of life.
