Yong JP, Mu XY, Zhou CF, Zhang KK, Gao JQ, Guo ZZ, Zhou SF, Ma Z. Radiofrequency ablation of liver metastases in a patient with pancreatic cancer and long-term survival: A case report. World J Clin Cases 2025; 13(20): 100169 [PMID: 40671744 DOI: 10.12998/wjcc.v13.i20.100169]
Reader's ID:
03562413
Submitted on:
April 13, 2025, 08:25
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Reader Comments:
1. Figure 1: If both the pre-radiofrequency ablation enhanced MR images and the post- radiofrequency ablation enhanced MR images at regular follow-up are provided, the changes in tumor characteristics before and after treatment can be more accurately assessed.
2. The pathological image of HE staining lacks a scale bar for measurement reference.
3. The MRI report omits the examination time, which is critical for temporal correlation.
4. Figure 4: The examination date is not specified, and no arrows have been used to clearly indicate lesions.
5. Figure 5: Contrast-enhanced MR imaging is necessary to detect potential small metastases due to the limited sensitivity of CT scans.
6. Page 3: Chief Complaints: "The patient was admitted to the hospital on March 03, 2018." History of Past Illness: "On March 18, 2018, the patient underwent CT examination at a foreign hospital." Based on the timeline, the chief complaint (admission date) precedes the CT examination date, which appears inconsistent. Please clarify.
7. Page 3: History of Present Illness and History of Past Illness: The content structure does not adhere to standard medical documentation conventions. It is recommended to reorganize these sections for clarity and consistency.
8. Page 3: Physical Examination: Radiofrequency ablation (RFA) for liver metastases was performed; however, RFA is a therapeutic intervention rather than a physical examination. This procedure should not be listed under the physical examination section.
9. Page 4: Treatment: Two rounds of radiofrequency ablation were completed, but the exact dates of these procedures are missing. To facilitate accurate comparison of pre- and post-ablation images, the specific timing of each session must be documented. Additionally, when comparing images (e.g., "compared with those in the July 07, 2020 slices"), it is essential to provide corresponding images from the same anatomical region at two distinct time points to more effectively illustrate tumor size changes.
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