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Semin intervent Radiol 2003; 20(4): 303-306
DOI: 10.1055/s-2004-828941
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Radiofrequency Ablation of Adrenal Neoplasms

William W. Mayo-Smith, Damian E. Dupuy, Caroline J. Simon
  • Department of Radiology, Rhode Island Hospital, Brown Medical School, Providence, Rhode Island
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Publication Date:
20 July 2004 (online)

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ABSTRACT

Addrenal tumors are common, and represent a diverse group of neoplasms that can be divided into four separate categories, each with a different prognosis, diagnostic workup, and recommended treatment. These four categories include benign adenomas, metastases to the adrenal, primary adrenal cortical carcinoma, and biochemically active adrenal tumors. Radiofrequency (RF) ablation is a technique that uses alternating current to generate localized heat and induce tissue necrosis. This article describes the technique and potential role of RF ablation to treat adrenal neoplasms. The precise role of RF ablation in treatment of adrenal tumors depends on the histology and patient's comorbid conditions.

KEYWORDS

Radiofrequency ablation - adrenal neoplasm - image-guided

REFERENCES

  • 1 Commons R R, Calloway C P. Adenomas of the adrenal cortex.  Arch Intern Med . 1948;  81 37
    PubMedGoogle Scholar
  • 2 Mayo-Smith W W, Boland G W, Noto R B, Lee M J. State of the art adrenal imaging.  Radiographics . 2001;  21 995-1012
    CrossrefPubMedGoogle Scholar
  • 3 Abrams H L, Spiro R, Goldstein N. Metastasis in carcinoma. Analysis of 1000 autopsied cases.  Cancer . 1950;  3 74-85
    CrossrefPubMedGoogle Scholar
  • 4 Paul C A, Virgo K S, Wade T P, Audisio R A, Johnson F E. Adrenalectomy for isolated adrenal metastases from non-adrenal cancer.  Int J Oncol . 2000;  17 181-187
    PubMedGoogle Scholar
  • 5 Lo C Y, Van Heerden A J, Soreide J A. et al . Adrenalectomy for metastatic disease to the adrenal glands.  Br J Surg . 1996;  83 528-531
    CrossrefPubMedGoogle Scholar
  • 6 Kim S H, Brennan M F, Russo P, Burt M E, Coit D G. The role of surgery in the treatment of clinically isolated adrenal metastasis.  Cancer . 1998;  82 389-394
    CrossrefPubMedGoogle Scholar
  • 7 Demeure M J, Somberg L B. Functioning and nonfunctioning adrenocortical carcinoma: clinical presentation and therapeutic strategies.  Surg Oncol Clin N Am . 1998;  7 791-805
    PubMedGoogle Scholar
  • 8 Brennan M F. Adrenocortical carcinoma.  CA: a Cancer Journal for Clinicians . 1987;  37 349-365
    PubMedGoogle Scholar
  • 9 Pommier R F, Brennan M F. An eleven-year experience with adrenocortical carcinoma.  Surgery . 1992;  112 963-971
    PubMedGoogle Scholar
  • 10 Gazelle G S, Goldberg S N, Solbiati L, Livraghi T. Tumor ablation with radio-frequency energy.  Radiology . 2000;  217 633-646
    CrossrefPubMedGoogle Scholar
  • 11 Pacek K, Fojo T, Goldstein D S. et al . Radiofrequency ablation (RFA): a novel approach for the treatment of metastatic pheochromocytoma.  J Natl Cancer Inst . 2001;  93 648-649
    CrossrefPubMedGoogle Scholar
  • 12 Mayo-Smith W W, Dupuy D E. Adrenal neoplasms: CT- guided radiofrequency ablation preliminary results.  Radiology . 2004;  231 225-230
    CrossrefPubMedGoogle Scholar
  • 13 Wood B J, Abraham J, Hvizda J L, Alexander H R, Fojo T. Radiofrequency ablation of adrenal tumors and adrenocortical carcinoma metastases.  Cancer . 2003;  97 554-560
    CrossrefPubMedGoogle Scholar
  • 14 Hokotate H, Inoue H, Baba Y, Tsuchimochi S, Nakajo M. Aldosteronomas: experience with superselective adrenal arterial embolization in 33 cases.  Radiology . 2003;  227 401-406
    CrossrefPubMedGoogle Scholar
  • 15 Inoue H, Nakajo M, Miyazono N, Nishida H, Ueno K, Hokotate H. Transcatheter arterial ablation of aldosteronomas with high-concentration ethanol: preliminary and long-term results.  AJR Am J Roentgenol . 1997;  168 1241-1245
    PubMedGoogle Scholar
  • 16 Miyazono N, Ueno K, Nakajo M. et al . Transcatheter arterial and adrenal embolization with iohexol-ethanol solutions: animal experimental study and clinical application.  Invest Radiol . 1996;  31 755-760
    CrossrefPubMedGoogle Scholar
  • 17 Shibata T, Maetani Y, Ametani F, Itoh K, Konshi J. Percutaneous ethanol injection for treatment of adrenal metastasis from hepatocellular carcinoma.  AJR Am J Roentgenol . 2000;  174 333-335
    CrossrefPubMedGoogle Scholar
  • 18 Maki D D, Haskal Z J, Matthies A. et al . Percutaneous ethanol ablation of an adrenal tumor.  AJR Am J Roentgenol . 2000;  174 1031-1032
    PubMedGoogle Scholar
  • 19 Liang H L, Pan H B, Lee Y H. et al . small functional adrenal cortical adenoma: treatment with ct-guided percutaneous acetic acid injection-report of three cases.  Radiology . 1999;  213 612-615
    CrossrefPubMedGoogle Scholar
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