THE ROLE OF CRYOTHERAPY IN CANCER TREATMENT – A REVIEW OF MECHANISMS, EFFICACY, AND FUTURE DIRECTIONS
DOI:
https://doi.org/10.22159/ijhs.2025v13.IJHS_53077Keywords:
Cryotherapy, Cryoablation, Cancer treatment, Minimally invasive, Liquid nitrogen, Localized tumors, Immunological response, Metastatic malignanciesAbstract
Cryotherapy, often called cryoablation or cryosurgery, is a minimally invasive treatment that uses extremely low temperatures to eliminate cancer cells. Using agents such as liquid nitrogen or argon gas, it achieves temperatures as low as -196°C, resulting in the development of intracellular ice crystals that destroy cellular structures and induce death. Its uses are many, ranging from dermatology to gynecology to oncology, with a rising interest in its ability to treat localized solid tumors, such as prostate, breast, and liver cancer. Cryotherapy has several advantages, including being less intrusive, protecting surrounding healthy tissues, and activating immunological responses. The hurdles include standardising techniques, enhancing effectiveness in metastatic malignancies, and overcoming economic limitations. This study investigates cryotherapy's mechanics, therapeutic uses, and its interaction with immunotherapy.
References
Gage AA, Baust JG. Cryosurgery for tumors. J Am Coll Surg 2007;205:342-56.
Dobak J. A review of cryobiology and cryosurgery. In: Advances in Cryogenic Engineering. Boston, MA: Springer; 1998. p. 889- 96. Jenning JW Sr. Production and control of low temperature in cryosurgery. AORN J 1968;7:41-6.
Xu K. Cryobiology: Mechanism of action and reaction to freezing. In: Modern cryosurgery for cancer. Singapore: World Scientific; 2012. p. 123-70.
Ismail M, Ahmed S, Davies J. Prostate cryotherapy. In: Prostate Cancer: A Comprehensive Perspective. London: Springer; 2012. p. 773-786.
Chu KF, Dupuy DE. Thermal ablation of tumours: Biological mechanisms and advances in therapy. Nat Rev Cancer 2014;14: 199-208.
Clebak KT, Mendez-Miller M, Croad J. Cutaneous cryosurgery for common skin conditions. Am Fam Physician 2020;101:399-406.
Bánvölgyi A, Görög A, Gadó K, Holló P. Common benign and malignant tumours of the aging skin: Characteristics and treatment options. Dev Health Sci 2022;4:86-90.
Zacarian SA. Cryosurgery in dermatology. In: Physical Modalities in Dermatologic Therapy: Radiotherapy, Electrosurgery, Phototherapy, Cryosurgery. New York: Springer; 1978. p. 270-81.
Gage AA. Selective cryotherapy. Cell Preserv Technol 2004;2:3-14.
Holt PJ. Cryotherapy for skin cancer: Results over a 5-year period using liquid nitrogen spray cryosurgery. Br J Dermatol 1988;119:231-40.
Levine D, Marcellin-Little DJ. Cryotherapy in small animal rehabilitation. Adv Small Anim Care 2021;2:11-8.
Trescot AM. Cryoneurolysis: Principles and practice. In: Weiner’s Pain Management: A Practical Guide for Clinicians. United States: CRC Press; 2005. p. 1057-77.
Sobh HR, Elsherbiny OE, El-Refaay ER, Abd-Elghany SM. Effect of topical cryotherapy on clinical outcomes of patients with breast cancer related lymphedema. Tanta Sci Nurs J 2023;30:280-302.
Haslerud SI. Low-level laser therapy and cryotherapy in tendinopathy treatment. Clinical, biological, and biophysical effects of low-level laser therapy alone and in combination with cryotherapy
Korpan NN. A history of cryosurgery: Its development and future. J Am Coll Surg 2007;204:314-24.
Xu K. History of cryosurgery. In: Modern Cryosurgery For Cancer. Singapore: World Scientific; 2012. p. 3-27.
Onik G. Cryosurgery. Crit Rev Oncol Hematol 1996;23:1-24.
Ullrick SR, Hebert JJ, Davis KW. Cryoablation in the musculoskeletal system. Curr Probl Diagn Radiol 2008;37:39-48.
Andrade JG, Khairy P, Dubuc M. Catheter cryoablation: Biology and clinical uses. Circ Arrhythm Electrophysiol 2013;6:218-27.
Gage AA. History of cryosurgery. Semin Surg Oncol 1998;14:99-109.
Cartwright AC, Armstrong NA. A History of the Medicines We Take: From Ancient Times to Present Day. England: Pen and Sword History; 2020.
Baust J, Gage AA, Ma H, Zhang CM. Minimally invasive cryosurgery-technological advances. Cryobiology 1997;34:373-84.
Rubinsky B. Cryosurgery. Ann Rev Biomed Eng 2000;2:157-87.
Vergnon JM, Huber RM, Moghissi K. Place of cryotherapy, brachytherapy and photodynamic therapy in therapeutic bronchoscopy of lung cancers. Eur Respir J 2006;28:200-18.
Riley P, Glenny AM, Worthington HV, Littlewood A, Clarkson JE, McCabe MG. Interventions for preventing oral mucositis in patients with cancer receiving treatment: Oral cryotherapy. Cochrane Database Syst Rev 2015;2015:CD011552.
Baust JG, Gage AA, Bjerklund Johansen TE, Baust JM. Mechanisms of cryoablation: Clinical consequences on malignant tumors. Cryobiology 2014;68:1-11.
Sun X, Cui B, Yuan B, Wang X, Fan L, Yu D, et al. Liquid metal microparticles phase change medicated mechanical destruction for enhanced tumor cryoablation and dual‐mode imaging. Adv Funct Mater 2020;30:2003359.
Kepp O, Marabelle A, Zitvogel L, Kroemer G. Oncolysis withoutviruses - inducing systemic anticancer immune responses with local therapies. Nat Rev Clin Oncol 2020;17:49-64.
Shields JA, Parsons H, Shields CL, Giblin ME. The role of cryotherapy in the management of retinoblastoma. Am J Ophthalmol 1989;108:260-4.
Korpan NN, editor. Basics of Cryosurgery. Germany: Springer Science & Business Media; 2012.
Baust JG, Santucci KL, Snyder KK, Robilotto A, Baust JM. Mechanisms of tissue injury in cryosurgery. The Application of Heat in Oncology: Principles and Practice. United States: John Wiley & Sons; 2023. p. 45-71.
Agarwal V, Singh M. Cryopreservation of cell lines. In: Animal Cell Culture: Principles and Practice. Cham: Springer International Publishing; 2023. p. 147-61.
Thomsen S. Measuring thermal damage with gross and microscopic pathology. In: The Application of Heat in Oncology: Principles and Practice. United States: John Wiley & Sons; 2023. p. 217-50.
Aggarwal N, Ahuja K, Pal N, Pannu R, Berwal V. Cryosurgery: Atherapeutic modality for oro-facial lesions. Int J Commu Health Med Res 2017;3:66.
Chato JC, Lee RC. The future of biothermal engineering. Ann N Y Acad Sci 1998;858:1-20.
Pasquali P, Trakatelli MG. Cryotherapy. In: Hyperpigmentation. United States: CRC Press; 2017. p. 258-65.
Gonçalves JC. Fractional cryosurgery for skin cancer. Dermatol Surg 2009;35:1788-96.
Debela DT, Muzazu SG, Heraro KD, Ndalama MT, Mesele BW, Haile DC, et al. New approaches and procedures for cancer treatment: Current perspectives. SAGE Open Med 2021;9:2050312121103436639. Schacht V, Becker K, Szeimies RM, Abels C. Apoptosis and leucocyte-endothelium interactions contribute to the delayed effects of cryotherapy on tumours in vivo. Arch Dermatol Res 2002;294:341-8.
Hoffmann NE, Bischof JC. The cryobiology of cryosurgical injury. Urology 2002;60:40-9.
Abdo J, Cornell DL, Mittal SK, Agrawal DK. Immunotherapy plus cryotherapy: Potential augmented abscopal effect for advanced cancers. Front Oncol 2018;8:85.
Sabel MS. Cryo-immunology: A review of the literature and proposed mechanisms for stimulatory versus suppressive immune responses. Cryobiology 2009;58:1-11.
Hoffmann NE, Bischof JC. Mechanisms of injury caused by in vivo freezing. In: Life in the Frozen State. United States: CRC Press; 2004. p. 481-508.
Wu F. Heat-based tumor ablation: Role of the immune response. Adv Exp Med Biol 2016;880:131-53.
Tranberg KG. Local destruction of tumors and systemic immune effects. Front Oncol 2021;11:708810.
Moioli EK, Krunic AL. Immunological aspects of cryosurgery. In: Skin Cancer: APractical Approach. New York: Springer; 2013. p. 397-407.
Habrawi Z, Melkus MW, Khan S, Henderson J, Brandi L, Chu V, et al. Cryoablation: A promising non-operative therapy for low-risk breast cancer. Am J Surg 2021;221:127-33.
Aghayev A, Tatli S. The use of cryoablation in treating liver tumors. Expert Rev Med Devices 2014;11:41-52.
Gage AA, Baust JM, Baust JG. Experimental cryosurgery investigations in vivo. Cryobiology 2009;59:229-43.
Goel R, Anderson K, Slaton J, Schmidlin F, Vercellotti G, Belcher J, et al. Adjuvant approaches to enhance cryosurgery. J Biomech Eng 2009;131:074003.
Sinclair RD, Dawber RP. Cryosurgery of malignant and premalignant diseases of the skin: A simple approach. Australas J Dermatol 1995;36:133-42.
Neel HB 3rd. Cryosurgery for the treatment of cancer. Laryngoscope 1980;90:1-48.
Zimmerman EE, Crawford P. Cutaneous cryosurgery. Am Fam Physician 2012;86:1118-24.
Karow AM. Organ cryopreservation. In: Clinical Applications of Cryobiology. London: CRC Press; 199. p. 191-217.
Tsivian M, Polascik TJ. Focal cryotherapy for prostate cancer. Curr Urol Rep 2010;11:147-51.
Babaian RJ, Donnelly B, Bahn D, Baust JG, Dineen M, Ellis D, et al. Best practice statement on cryosurgery for the treatment of localized prostate cancer. J Urol 2008;180:1993-2004.
Jung JH, Risk MC, Goldfarb R, Reddy B, Coles B, Dahm P. Primary cryotherapy for localised or locally advanced prostate cancer. Cochrane Database Syst Rev 2018;5:CD005010.
Onik G. Percutaneous image-guided prostate cancer treatment: Cryoablation as a successful example. Tech Vasc Interv Radiol2007;10:149-58.
Franco L. Cryosurgery for prostate cancer. In: Modern Cryosurgery for Cancer. Singapore: World Scientific; 2012. p. 715-56.
Pigg N, Ward RC. Cryoablation for the treatment of breast cancer: Areview of the current landscape and future possibilities. Acad Radiol 2023;30:3086-100.
Carriero S, Lanza C, Pellegrino G, Ascenti V, Sattin C, Pizzi C, et al. Ablative therapies for breast cancer: State of art. Technol Cancer Res Treat 2023;22:1533033823115719362. Sharma R, Wagner JL, Hwang RF. Ablative therapies of the breast. Surg Oncol Clin N Am 2011;20:317-39, viii.
Zhao Z, Wu F. Minimally-invasive thermal ablation of early-stage breast cancer: A systemic review. Eur J Surg Oncol 2010;36:1149-55.
Habrawi Z, Melkus MW, Khan S, Henderson J, Brandi L, Chu V, et al. Cryoablation: A promising non-operative therapy for low-risk breast cancer. Am J Surg 2021;221:127-33.
Hinshaw JL, Lee FT Jr. Cryoablation for liver cancer. Tech Vasc Interv Radiol 2007;10:47-57.
Shafir M, Shapiro R, Sung M, Warner R, Sicular A, Klipfel A. Cryoablation of unresectable malignant liver tumors. Am J Surg 1996;171:27-31.
Mala T. Cryoablation of liver tumours-a review of mechanisms, techniques and clinical outcome. Minim Invasive Ther Allied Technol 2006;15:9-17.
Kwak K, Yu B, Lewandowski RJ, Kim DH. Recent progress in cryoablation cancer therapy and nanoparticles mediated cryoablation. Theranostics 2022;12:2175-204.
Inoue M, Nakatsuka S, Jinzaki M. Cryoablation of early-stage primary lung cancer. Biomed Res Int 2014;2014:521691.
Chou HP, Chen CK, Shen SH, Sheu MH, Wu MH, Wu YC, et al. Percutaneous cryoablation for inoperable malignant lung tumors: Midterm results. Cryobiology 2015;70:60-5.
Niu L, Xu K, Mu F. Cryosurgery for lung cancer. J Thorac Dis 2012;4:408-19.
Eiken PW, Welch BT. Cryoablation of lung metastases: Review of recent literature and ablation technique. Semin Intervent Radiol 2019;36:319-25.
Desai MM, Aron M, Gill IS. Laparoscopic partial nephrectomy versus laparoscopic cryoablation for the small renal tumor. Urology 2005;66:23-8.
Maria T, Georgiades C. Percutaneous cryoablation for renal cell carcinoma. J Kidney Cancer VHL 2015;2:105-13.
Zargar H, Atwell TD, Cadeddu JA, de la Rosette JJ, Janetschek G, Kaouk JH, et al. Cryoablation for small renal masses: Selection criteria, complications, and functional and oncologic results. Eur Urol 2016;69:116-28.
Lehman DS, Landman J. Cryoablation and radiofrequency for kidney tumor. Curr Urol Rep 2008;9:128-34.
Williams SK, de la Rosette JJ, Landman J, Keeley FX Jr. Cryoablation of small renal tumors. EAU-EBU Update Ser 2007;5:206-18.
Finley DS, Beck S, Box G, Chu W, Deane L, Vajgrt DJ, et al. Percutaneous and laparoscopic cryoablation of small renal masses. J Urol 2008;180:492-8.
Kim EH, Tanagho YS, Saad NE, Bhayani SB, Figenshau RS. Comparison of laparoscopic and percutaneous cryoablation for treatment of renal masses. Urology 2014;83:1081-7.
Gill IS, Novick AC, Soble JJ, Sung GT, Remer EM, Hale J, et al. Laparoscopic renal cryoablation: Initial clinical series. Urology 1998;52:543-51.
Hinshaw JL, Lubner MG, Ziemlewicz TJ, Lee FT Jr., Brace CL. Percutaneous tumor ablation tools: Microwave, radiofrequency, or cryoablation-what should you use and why? Radiographics 2014;34:1344-62.
Yakkala C, Denys A, Kandalaft L, Duran R. Cryoablation and immunotherapy of cancer. Curr Opin Biotechnol 2020;65:60-4.
Sidana A. Cancer immunotherapy using tumor cryoablation. Immunotherapy 2014;6:85-93.
Ho AY, Tabrizi S, Dunn SA, McArthur HL. Current advances in immune checkpoint inhibitor combinations with radiation therapy or cryotherapy for breast cancer. Breast Cancer Res Treat 2022;191:229-41.
Yuanying Y, Lizhi N, Feng M, Xiaohua W, Jianying Z, Fei Y, et al. Therapeutic outcomes of combining cryotherapy, chemotherapy and DC-CIK immunotherapy in the treatment of metastatic non-small cell lung cancer. Cryobiology 2013;67:235-40.
Agrawal DK. Immunotherapy plus cryotherapy: Potential augmented abscopal effect for advanced cancers. Front Oncol 2018;8:85.
Peng P, Hu H, Liu P, Xu LX. Neoantigen-specific CD4(+) T-cellresponse is critical for the therapeutic efficacy of cryo-thermal therapy. J Immunother Cancer 2020;8:e000421.
Clarke DM, Baust JM, Van Buskirk RG, Baust JG. Chemo-cryo combination therapy: An adjunctive model for the treatment of prostate cancer. Cryobiology 2001;42:274-85.
Ci T, Li H, Chen G, Wang Z, Wang J, Abdou P, et al. Cryo-shocked cancer cells for targeted drug delivery and vaccination. Sci Adv 2020;6:eabc3013.
Wei G, Wang Y, Yang G, Wang Y, Ju R. Recent progress in nanomedicine for enhanced cancer chemotherapy. Theranostics 2021;11:6370-92.
Ding Y, Li W, Zhang F, Liu Z, Zanjanizadeh Ezazi N, Liu D, et al. Electrospun fibrous architectures for drug delivery, tissue engineering and cancer therapy. Adv Funct Mater 2019;29:1802852.
Tang L, He S, Yin Y, Liu H, Hu J, Cheng J, et al. Combination of nanomaterials in cell-based drug delivery systems for cancer treatment. Pharmaceutics 2021;13:1888.
Williams SB, Lei Y, Nguyen PL, Gu X, Lipsitz SR, Yu HY, et al. Comparative effectiveness of cryotherapy vs brachytherapy for localised prostate cancer. BJU Int 2012;110:E92-8.
Donnelly BJ, Saliken JC, Brasher PM, Ernst SD, Rewcastle JC, Lau H, et al. A randomized trial of external beam radiotherapy versus cryoablation in patients with localized prostate cancer. Cancer 2010;116:323-30.
Littrup PJ, Jallad B, Chandiwala-Mody P, D’Agostini M, Adam BA, Bouwman D. Cryotherapy for breast cancer: Afeasibility study without excision. J Vasc Interv Radiol 2009;20:1329-41.
Singletary SE. Minimally invasive techniques in breast cancer treatment. Semin Surg Oncol 2001;20:246-50.
Otsuka I. Cutaneous metastasis after surgery, injury, lymphadenopathy, and peritonitis: Possible mechanisms. Int J Mol Sci 2019;20:3286.
Ahmed M, Rubio IT, Klaase JM, Douek M. Surgical treatment of nonpalpable primary invasive and in situ breast cancer. Nat Rev Clin Oncol 2015;12:645-63.
Knavel EM, Brace CL. Tumor ablation: Common modalities and general practices. Tech Vasc Interv Radiol 2013;16:192-200.
Mauri G, Sconfienza LM, Pescatori LC, Fedeli MP, Alì M, Di Leo G, et al. Technical success, technique efficacy and complications of minimally-invasive imaging-guided percutaneous ablation procedures of breast cancer: A systematic review and meta-analysis. Eur Radiol 2017;27:3199-210.
Klintberg IH, Larsson ME. Shall we use cryotherapy in the treatment in surgical procedures, in acute pain or injury, or in long term pain or dysfunction?-A systematic review. J Bodyw Mov Ther 2021;27:368-87
Theodorescu D. Cancer cryotherapy: Evolution and biology. Rev Urol 2004;6 Suppl 4:S9-19. Vergnon JM, Schmitt T, Alamartine E, Barthelemy JC, Fournel P, Emonot A. Initial combined cryotherapy and irradiation for unresectable non-small cell lung cancer. Preliminary results. Chest 1992;102:1436-40.
Seror O. Ablative therapies: Advantages and disadvantages of radiofrequency, cryotherapy, microwave and electroporation methods, or how to choose the right method for an individual patient? Diagn Interv Imaging 2015;96:617-24.
Stoff JA. A Multimodal strategic approach to integrative oncology. Asian J Immunol 2022;6:1-39.
Johnston MH. Cryotherapy and other newer techniques. Gastrointest Endosc Clin N Am 2003;13:491-504.
Mercader C, Musquera M, Franco A, Alcaraz A, Ribal MJ. Primary cryotherapy for localized prostate cancer treatment. Aging Male 2020;23:1460-6.
Shah TT, Ahmed H, Kanthabalan A, Lau B, Ghei M, Maraj B, et al. Focal cryotherapy of localized prostate cancer: A systematic review of the literature. Expert Rev Anticancer Ther 2014;14:1337-47.
Kokoszka A, Scheinfeld N. Evidence-based review of the use of cryosurgery in treatment of basal cell carcinoma. Dermatol Surg 2003;29:566-71.
Firnhaber JM. Diagnosis and treatment of Basal cell and squamous cell carcinoma. Am Fam Physician 2012;86:161-8
Tchanque-Fossuo CN, Eisen DB. A systematic review on the use of cryotherapy versus other treatments for basal cell carcinoma. Dermatol Online J 2018;24:13030/qt49k1c38t111. Garner KL, Rodney WM. Basal and squamous cell carcinoma. Prim Care 2000;27:447-58.
Kash N, Silapunt S. Cryotherapy and electrodesiccation& curettage for basal cell carcinoma. In: Basal Cell Carcinoma: Advances in Treatment and Research. United States: Nova Science Publishers, Incorporated; 2020. p. 101-20.
Thai JN, Sevrukov AB, Ward RC, Monticciolo DL. Cryoablation
therapy for early-stage breast cancer: Evidence and rationale. J Breast Imaging 2023;5:646-57.
Fine RE, Gilmore RC, Dietz JR, Boolbol SK, Berry MP, Han LK, et al. Cryoablation without excision for low-risk early-stage breast cancer: 3-year interim analysis of ipsilateral breast tumor recurrence in the ICE3 trial. Ann Surg Oncol 2021;28:5525-34.
Sabel MS, Kaufman CS, Whitworth P, Chang H, Stocks LH, Simmons R, et al. Cryoablation of early-stage breast cancer: Work-in-progress report of a multi-institutional trial. Ann Surg Oncol 2004;11:542-9.
Xiong T, Turner RM, Wei Y, Neal DE, Lyratzopoulos G, Higgins JP. Comparative efficacy and safety of treatments for localised prostate cancer: An application of network meta-analysis. BMJ Open 2014;4:e004285.
Nathan A, Ng A, Mitra A, Sooriakumaran P, Davda R, Patel S, et al. Comparative effectiveness analyses of salvage prostatectomy and salvage radiotherapy outcomes following focal or whole-gland ablative therapy (high-intensity focused ultrasound, cryotherapy or electroporation) for localised prostate cancer. Clin Oncol (R Coll Radiol) 2022;34:e69-78.
Takemura LS, Costa PH, Claros OR, Tourinho-Barbosa RR, Teles SB, Sanchez-Salas R, et al. Salvage local treatment for recurrent prostate cancer after focal therapy: A systematic review and meta-analysis. In: Urologic Oncology: Seminars and Original Investigations. Netherlands: Elsevier; 2024.
Mpourazanis G, Mpourazanis P, Stogiannidis G, Ntritsos G. The effectiveness of photodynamic therapy and cryotherapy on patients with basal cell carcinoma: A systematic review and meta-analysis. Dermatol Ther 2020;33:e13881.
Lv R, Sun Q. A network meta-analysis of non-melanoma skin cancer (NMSC) Treatments: Efficacy and safety assessment. J Cell Biochem 2017;118:3686-95.
Morton C, Horn M, Leman J, Tack B, Bedane C, Tjioe M, et al. Comparison of topical methyl aminolevulinate photodynamic therapy with cryotherapy or fluorouracil for treatment of squamous cell carcinoma in situ: Results of a multicenter randomized trial. Arch Dermatol 2006;142:729-35.
Woodrum DA, Kawashima A, Gorny KR, Mynderse LA. Targeted prostate biopsy and MR-guided therapy for prostate cancer. Abdom Radiol (NY) 2016;41:877-88.
De Marini P, Cazzato RL, Garnon J, Shaygi B, Koch G, Auloge P, et al. Percutaneous MR-guided prostate cancer cryoablation technical updates and literature review. BJR Open 2019;1:20180043.
Woodrum DA, Kawashima A, Gorny KR, Mynderse LA. Prostate cancer: State of the art imaging and focal treatment. Clin Radiol 2017;72:665-79.
Wimper Y, Fütterer JJ, Bomers JG. MR imaging in real time guiding of therapies in prostate cancer. Life (Basel) 2022;12:302.
Mathew MS, Oto A. MRI-guided focal therapy of prostate cancer. Future Oncol 2017;13:537-49.
Liao Y, Chen Y, Liu S, Wang W, Fu S, Wu J. Low-dose total body irradiation enhances systemic anti-tumor immunity induced by local cryotherapy. J Cancer Res Clin Oncol 2023;149:10053-63.
Machlenkin A, Goldberger O, Tirosh B, Paz A, Volovitz I, Bar-Haim E, et al. Combined dendritic cell cryotherapy of tumor induces systemic antimetastatic immunity. Clin Cancer Res 2005;11:4955-61
Morrison PR, Silverman SG, Tuncali K, Tatli S. MRI-guided cryotherapy. J Magn Reson Imaging 2008;27:410-20.
Xu K, Li R. Imaging technology in cryosurgery. In: Modern Cryosurgery for Cancer. Singapore: World Scientific; 2012. p. 249-66.
Littrup PJ, Lee FT Jr., Rajan D, Meetze K, Weaver D. Hepatic cryotherapy state-of the-art techniques and future developments. Ultrasound Q 1998;14:171-88.
Bala MM, Riemsma RP, Wolff R, Pedziwiatr M, Mitus JW, Storman D, et al. Cryotherapy for liver metastases. Cochrane Database Syst Rev 2019;7:CD009058.
Ravikumar TS, Kane R, Cady B, Jenkins R, Clouse M, Steele G Jr. A 5-year study of cryosurgery in the treatment of liver tumors. Arch Surg 1991;126:1520-3.
Mascarenhas BA, Ravikumar TS. Experimental basis for hepatic cryotherapy. Semin Surg Oncol 1998;14:110-5.
Akay BN, Aydemir AT. Combining immunotherapy and targeted therapies with cryotherapy in patients with cutaneous metastatic melanoma. Dermatol Surg 2024;50:770-2.
Costello JT, McInerney CD, Bleakley CM, Selfe J, Donnelly AE. The use of thermal imaging in assessing skin temperature following cryotherapy: A review. J Therm Biol 2012;37:103-10.
Swenson C, Swärd L, Karlsson J. Cryotherapy in sports medicine. Scand J Med Sci Sports 1996;6:193-200.
Gao L, Yang L, Qian S, Tang Z, Qin F, Wei Q, et al. Cryosurgery would be an effective option for clinically localized prostate cancer: A meta-analysis and systematic review. Sci Rep 2016;6:27490.
Gage AA. Cryotherapy for oral cancer. JAMA 1968;204:565-9.
Wentzensen N, Chirenje ZM, Prendiville W. Treatment approaches for women with positive cervical screening results in low-and middle-income countries. Prev Med 2021;144:106439
Cubie HA, Campbell C. Cervical cancer screening - The challenges of complete pathways of care in low-income countries: Focus on Malawi. Womens Health (Lond) 2020;16:1745506520914804
Meneghel J, Kilbride P, Morris GJ. Cryopreservation as a key element in the successful delivery of cell-based therapies-a review. Front Med (Lausanne) 2020;7:592242.
Robinson D, Yassin M, Nevo Z. Cryotherapy of musculoskeletal tumors-from basic science to clinical results. Technol Cancer Res Treat 2004;3:371-5.
Aarts BM, Klompenhouwer EG, Rice SL, Imani F, Baetens T, Bex A, et al. Cryoablation and immunotherapy: An overview of evidence on its synergy. Insights Imaging 2019;10:53.
Yakkala C, Chiang CL, Kandalaft L, Denys A, Duran R. Cryoablation and immunotherapy: An enthralling synergy to confront the tumors. Front Immunol 2019;10:2283.
Pediconi F, Marzocca F, Cavallo Marincola B, Napoli A. MRI-guided treatment in the breast. J Magn Reson Imaging 2018;48:1479-88.
Cho S, Kang SH. Current status of cryotherapy for prostate and kidney cancer. Korean J Urol 2014;55:780-8.
Published
How to Cite
Issue
Section
Copyright (c) 2025 TANMAY MOHANTA, JAGJOT GAUTAM, AMRIT PAUL, ANIL P SAO
This work is licensed under a Creative Commons Attribution 4.0 International License.