CPT® Code 0301T

Deleted

1. Indications

Focused microwave therapy (FMT) is indicated for the treatment of malignant breast tumors in patients who meet specific criteria. The following conditions may warrant the use of this procedure:

• Malignant Breast Tumors - FMT is specifically designed for the destruction or reduction of malignant tumors located in the breast.
• Patients Declining Traditional Surgery - This procedure may be suitable for patients who choose not to undergo conventional surgical options such as lumpectomy or mastectomy.
• Poor Surgical Candidates - Individuals who are deemed poor candidates for surgery due to various health factors may benefit from this minimally invasive treatment.
• Adjunctive Treatment - FMT can be utilized as an adjunctive therapy to enhance the effectiveness of radiation therapy and chemotherapy, making tumor cells more sensitive to these treatments.

2. Procedure

The procedure for focused microwave therapy (FMT) involves several critical steps to ensure effective treatment of malignant breast tumors. Each step is carefully executed to maximize the therapeutic outcome while minimizing discomfort for the patient.

• Step 1: Anesthesia Administration - The procedure begins with the administration of a local anesthetic to the patient. This is crucial for ensuring that the patient remains comfortable throughout the treatment process.
• Step 2: Catheter Insertion - Following anesthesia, a multiprobe catheter is inserted directly into the tumor. This insertion is guided by ultrasound imaging, which allows for precise placement within the tumor mass.
• Step 3: Patient Positioning - The patient is then positioned on a modified stereotactic breast needle biopsy table. This specialized table facilitates optimal access to the breast tissue and ensures stability during the procedure.
• Step 4: Breast Compression - The breast is compressed between two plates. This compression is essential for isolating the target area and enhancing the effectiveness of the microwave energy application.
• Step 5: Probe and Microwave Applicator Placement - A probe is placed into the catheter and secured to the skin. Additionally, microwave applicators are positioned at opposing angles to focus the microwave energy on the tumor.
• Step 6: Microwave Energy Application - The microwaves are then focused on the target area of the isolated breast. A skin cooling device is applied to protect the surrounding healthy tissue from excessive heat.
• Step 7: Treatment Duration - The target area is exposed to high-temperature microwave currents for a prescribed duration, typically lasting between 20 to 30 minutes, depending on the specific treatment plan.
• Step 8: Removal of Equipment - After the treatment is completed, the probes and catheter are carefully removed from the breast.
• Step 9: Dressing Application - Finally, a sterile dressing is placed over the small puncture sites in the skin to promote healing and prevent infection.

3. Post-Procedure

After the focused microwave therapy (FMT) procedure, patients may experience some mild discomfort at the treatment site, which is typically manageable with over-the-counter pain relief. It is important for patients to follow any specific post-procedure care instructions provided by their healthcare provider. This may include keeping the dressing clean and dry, monitoring the puncture sites for signs of infection, and scheduling follow-up appointments to assess the treatment's effectiveness. Patients are generally advised to avoid strenuous activities for a short period following the procedure to allow for proper healing. The healthcare team will provide guidance on when normal activities can be resumed and any additional treatments that may be necessary as part of the overall cancer management plan.