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Hyperthermia generated by intracavitary probe(s)

CPT4 code

Name of the Procedure:

Hyperthermia generated by intracavitary probe(s), also known as Intracavitary Hyperthermia or Localized Hyperthermia Treatment.

Summary

Hyperthermia generated by intracavitary probe(s) is a cancer treatment method where heat is applied directly to a tumor site inside a body cavity using specialized probes. This procedure aims to enhance the effectiveness of other cancer treatments like radiation therapy or chemotherapy.

Purpose

Hyperthermia generated by intracavitary probe(s) is used to treat malignant tumors. The goal is to elevate the temperature of the tumor tissues to weaken and kill cancer cells, making them more susceptible to treatments such as radiation and chemotherapy.

Indications

  • Patients with localized tumors in body cavities such as the chest, abdomen, or pelvis.
  • Tumors that are difficult to treat with surgery.
  • Patients who may not be suitable candidates for surgical procedures.

Preparation

  • Fasting may be required several hours before the procedure.
  • Medication adjustments might be necessary; patients should inform their doctor of all medications they are taking.
  • Pre-procedure diagnostic tests such as blood work, imaging scans (CT, MRI), and cardiovascular assessments may be conducted.

Procedure Description

  1. The patient is brought to the treatment facility, and intravenous (IV) lines may be established.
  2. Anesthesia or sedation is administered to ensure patient comfort.
  3. The intracavitary probe(s) are carefully inserted into the body cavity close to the tumor site.
  4. The probes generate controlled heat, typically ranging from 104-113°F (40-45°C), directly to the tumor tissue.
  5. The treatment duration and temperature are monitored closely by the medical team.
  6. After the procedure, the probes are removed, and post-care is provided.

Duration

The procedure typically lasts 1 to 2 hours, depending on the complexity and size of the tumor being treated.

Setting

Hyperthermia generated by intracavitary probe(s) is usually performed in a hospital setting, specifically in an oncology or radiology department equipped with specialized hyperthermia equipment.

Personnel

  • Oncologist or Radiologist (specialized in hyperthermia treatment)
  • Medical physicist (to monitor and control the temperature)
  • Nursing staff
  • Anesthesiologist (if sedation or anesthesia is used)

Risks and Complications

  • Possible burns or damage to nearby healthy tissue.
  • Infection at the probe insertion site.
  • Discomfort or pain during the procedure.
  • Rare complications include deep tissue burns or overheating of surrounding organs.

Benefits

  • Enhanced effectiveness of radiation therapy and chemotherapy.
  • Potentially shrinking tumors that are resistant to conventional treatments.
  • Non-invasive alternative to surgery.
  • Quick recovery time.

Recovery

  • Patients are usually observed for a few hours post-procedure to ensure there are no immediate complications.
  • Pain management may include over-the-counter pain relievers or prescribed medications.
  • Patients may resume normal activities within 24-48 hours.
  • Follow-up appointments may be scheduled to monitor the tumor's response to the treatment.

Alternatives

  • Radiation therapy alone
  • Chemotherapy
  • Surgical removal of the tumor
  • Other forms of hyperthermia treatment such as Radiofrequency Hyperthermia or Microwave Hyperthermia

Patient Experience

  • Patients might experience mild discomfort or heat sensation at the treatment site.
  • Sedation or anesthesia helps to minimize pain and ensure comfort during the procedure.
  • Post-procedure, some soreness or tenderness may be felt at the site of probe insertion.
  • Adequate pain management and supportive care will be provided to ensure a comfortable recovery.

Medical Policies and Guidelines for Hyperthermia generated by intracavitary probe(s)

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