Williams Cancer Institute

Procedure 2 · The original AblationVax™

Cryoablation + Immunotherapy

Where AblationVax began: freeze the tumor, then teach the immune system to finish it.

Cryoablation ruptures cancer cells intact, releasing their full molecular signature — then immunotherapy goes into the frozen tumor bed through the same access.

Personalized

Minimally invasive

Immune-activating

Outpatient

2004
Performing breast cryoablation since 2004
2014
First clinical AblationVax — cryoablation plus intratumoral immunotherapy
−40°C
Lethal zone inside the ice ball
Intact
Proteins preserved — no heat to destroy antigens

In plain terms

What this procedure is, without the jargon.

This is the original AblationVax — where Dr. Williams first combined ablation with immunotherapy. Instead of PEF it uses cryoablation: destroying the tumor by freezing it through a needle, creating an “ice ball.”
Freezing ruptures the cancer cells intact, releasing a broad pool of the tumor’s “fingerprints” without the heat damage that can destroy them — so the immune system sees the cancer’s full molecular signature. Then, through the same needle, we inject intratumoral immunotherapy into the frozen tumor bed, turning the tumor into a personalized in situ vaccine and aiming for the abscopal effect.
Cryoablation has the longest track record here and is often preferred for breast, kidney and liver tumors. Cryoablation alone was recently cleared for certain early breast cancers; our procedure adds the immunotherapy half that turns local destruction into a body-wide immune response, offered across more situations under clinician review.
Cryoablation: an ice ball ruptures the cancer cells intact, preserving their molecular signature.
The treated tumor teaches your immune system to recognize the cancer body-wide.
How it works

The two-part cryoablation procedure.

Part 1

Cryoablation — the ice ball

Image-guided cryoprobes create an ice ball around the tumor. Lethal cell kill occurs in the inner zone below −40°C, and multiple freeze-thaw cycles maximize cell death and antigen release. The dying cells release danger signals (ATP, HMGB1, calreticulin) and intact protein antigens.

Part 2

Intratumoral immunotherapy

Through the same procedural access, multi-agent immune cocktails are injected into the ablation bed — checkpoint inhibitors (Yervoy, Opdivo, Keytruda), TLR9 agonists (CpG), and costimulatory agonists (OX40, CD40, 4-1BB), selected on your tumor’s biology and prior treatment.

What makes it different

What we add that cryoablation alone doesn’t.

Standard approaches
Our approach
Cleared cryoablation (ProSense, Oct 2025): one specific population — ER+/PR+/HER2− breast, ≤1.5cm, age ≥70.
Considered across cancer types and biologies under clinician review.
Cryoablation alone — local control as the goal.
Cryoablation + multi-agent intratumoral immunotherapy through the same access — systemic immune activation as the goal.
Thermal ablation denatures proteins through heat.
Cells rupture intact — the immune system sees the cancer’s full molecular signature.

Why cryoablation for AblationVax.

Cells rupture intact

Extreme cold freezes and ruptures tumor cells, releasing intact proteins that prime the immune response — unlike heat, which denatures them.

Broad antigen pool released

Cryoablation creates a wide range of danger signals and tumor antigens, supporting in situ vaccination across diverse cancer biologies.

The longest track record here

Breast cryoablation since 2004, extended to pancreatic and abdominal tumors in 2008 — and combined with immunotherapy since 2014.

Track record

Pioneering cryoablation plus immunotherapy.

2004

Early adopter of breast cryoablation

Consistent with the field’s adoption era for image-guided cryoablation (Sabel et al. 2004).

2008

Extended to pancreatic and abdominal tumors

Among the most technically demanding ablation targets.

2024

Independent corroboration

Sardela de Miranda et al. publish cryoablation-induced abscopal effect in breast cancer.

Oct 2025

ProSense cryoablation cleared

The first device-specific clearance for breast cryoablation — validating the modality.

Ready to move forward?

There is more ahead. Take the next step with confidence.

Complimentary evaluation.

Dr. Williams’ team will personally review your case and imaging — no cost, no obligation.

Or email info@williamscancerinstitute.com

Beverly Hills · San Jose del Cabo · Mexico City — most patients complete treatment in one week

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