Feasibility Study of Ablathermy Focused Ultrasound (USF) of Breast Tumors Before Mastectomy
- Conditions
- Breast Tumor
- Interventions
- Procedure: ablathermy focused ultrasound
- Registration Number
- NCT01827969
- Lead Sponsor
- Institut Bergonié
- Brief Summary
The treatment consists of tumor ablation by Ablathermy Focused Ultrasound (USF), guided by MRI, performed under local anesthesia and sedation.
- Detailed Description
The treatment consists of tumor ablation by USF, guided by MRI, performed under local anesthesia and sedation. Patients will be operated (mastectomy) from 48 hours after ablation.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- Female
- Target Recruitment
- 1
- Invasive Breast Carcinoma with histologically confirmed hormone receptor analysis, the grade of the tumor, the expression of Her-2.
- Lesion classified T1-T2-T3 unifocal or multifocal with or without associated microcalcifications
- Lesion recognizable and identifiable in MRI
- Indication of mastectomy with or without axillary
- Lesion located more than 10 mm from the skin, the nipple and pectoralis major
- No cons-indication to MRI (pacemaker)
- Women whose age is ≥ 18 years
- If premenopausal patient: patient contraceptives
- Patient has signed informed consent
- Affiliation to a social security scheme
- Tumor-TD T4B classified or non-palpable lesion
- If age <70 years: no indication of adjuvant chemotherapy and neoadjuvant
- MRI lesions have not been identified, located within 10 mm of the skin and pectoral muscle, greater than 25 mm diameter
- Inability to hold still in the prone position, arms extended, for 30 minutes
- Contraindication to MRI
- Patient deprived of liberty and major subject of a measure of legal protection or unable to consent
- Patient participating in another interventional clinical trial within 30 days prior to baseline and during the trial.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description ablathermy focused ultrasound ablathermy focused ultrasound ablathermy focused ultrasound
- Primary Outcome Measures
Name Time Method Evaluate the effectiveness of ablathermy 2 years Evaluate the effectiveness of ablathermy focused ultrasound breast tumors on histological criteria in terms of destruction of the tumor mass by coagulation necrosis
- Secondary Outcome Measures
Name Time Method - Assessment of apoptotic phenomena in the margins of lesions treated 2 years * Assessment of apoptotic phenomena in the margins of lesions treated
* Know the immediate complications focused ultrasound
* Assess the pain experienced by patients during the procedure performed under sedation.
* Check the real-time processing by mapping temperature measured by MRI and correlate these mappings to the histological findings
Trial Locations
- Locations (1)
Institut Bergonié
🇫🇷Bordeaux, Aquitaine, France