{"paper_id":"b6ef67a9-5e79-4753-bfe8-c963d68731da","body_text":"Abstract\nPurpose\nThe purpose of this preliminary study was to report the short-term local control of percutaneous image-guided cryoablation of localized symptomatic abdominal scar endometrioma.\nMethods\nFour consecutive patients (mean age 34.5 years) with a total of ten lesions were included, with mean preoperative pain of 7 (range 5–9) on the visual analog scale. Cryoablation was performed in a single session under general anesthesia.\nResults\nPostoperative superficial edema disappeared within 2 weeks for all patients. No severe complications (>grade 2 according to the CTCAE classification) were reported. Mean postoperative pain was 1.7 at 6 months (range 0–5) and magnetic resonance imaging demonstrated a significant volume decrease for all patients (range 72.2–100 %; p = 0.028).\nConclusions\nPercutaneous cryoablation shows promising local control in patients with symptomatic abdominal wall endometriosis.\nSimilar content being viewed by others\nReferences\nHorton JD, Dezee KJ, Ahnfeldt EP, Wagner M (2008) Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 196(2):207–212\nErkan N, Haciyanli M, Sayhan H (2005) Abdominal wall endometriomas. Int J Gynaecol Obstet 89(1):59–60\nHensen JH, Van Breda Vriesman AC, Puylaert JB (2006) Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roetgenol 186(3):616–620\nMatthes G, Zabel DD, Nastala CL, Shestak KC (1998) Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy: case report and review of the literature. Ann Plastic Surg 40(6):672–675\nCarrafiello G, Fontana F, Pellegrino C et al (2009) Radiofrequency ablation of abdominal wall endometrioma. Cardiovasc Interv Radiol 32(6):1300–1303\nWang Y, Wang W, Wang L, Wang J, Tang J (2011) Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: preliminary results. Eur J Radiol 79(1):56–59\nKujak JL, Liu PT, Johnson GB, Callstrom MR (2010) Early experience with percutaneous cryoablation of extra-abdominal desmoid tumors. Skeletal Radiol 39(2):175–182\nCornelis F, Italiano A, Al-Ammari S et al (2012) Successful iterative percutaneous cryoablation of multiple extraabdominal desmoid tumors in a patient with Gardner syndrome. J Vasc Interv Radiol 23(8):1101–1103\nCallstrom MR, York JD, Gaba RC et al (2009) Research reporting standards for image-guided ablation of bone and soft tissue tumors. J Vasc Interv Radiol 20(12):1527–1540\nCornelis F, Neuville A, Labreze C et al (2013) Percutaneous cryotherapy of vascular malformation: initial experience. Cardiovasc Interv Radiol 36(3):853–856\nCornelis F, Havez M, Labreze C et al (2013) Percutaneous cryoablation of symptomatic localized venous malformations: preliminary short-term results. J Vasc Interv Radiol 24(6):823–827\nCallstrom MR, Kurup AN (2009) Percutaneous ablation for bone and soft tissue metastases—why cryoablation? Skeletal Radiol 38(9):835–839\nJanzen NK, Perry KT, Han KR et al (2005) The effects of intentional cryoablation and radio frequency ablation of renal tissue involving the collecting system in a porcine model. J Urol 173(4):1368–1374\nCallstrom MR, Atwell TD, Charboneau JW et al (2006) Painful metastases involving bone: percutaneous image-guided cryoablation–prospective trial interim analysis. Radiology 241(17057075):572–580\nGoldberg SN, Grassi CJ, Cardella JF et al (2005) Image-guided tumor ablation: standardization of terminology and reporting criteria. J Vasc Interv Radiol 16(6):765–778\nGunes M, Kayikcioglu F, Ozturkoglu E, Haberal A (2005) Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynaecol Res 31(5):471–475\nCornelis F, Havez M, Lippa N et al (2013) Radiologically guided percutaneous cryotherapy for soft tissue tumours: a promising treatment. Diagn Interv Imaging 94(4):364–370\nGidwaney R, Badler RL, Yam BL et al (2012) Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics 32(7):2031–2043\nAcknowledgments\nThe authors thank Pippa McKelvie-Sebileau for medical editorial services.\nFunding Sources\nNo Funding Sources.\nConflict of interest\nAll authors have nothing to disclose.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nCornelis, F., Petitpierre, F., Lasserre, A.S. et al. Percutaneous Cryoablation of Symptomatic Abdominal Scar Endometrioma: Initial Reports. Cardiovasc Intervent Radiol 37, 1575–1579 (2014). https://doi.org/10.1007/s00270-014-0843-z\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00270-014-0843-z","source_license":"public-domain-us","license_restricted":false}