Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome

被引：5

作者：

Sarma, Asha ^{[1
]}

Shyn, Paul B. ^{[1
]}

Vivian, Mark A. ^{[2
]}

Ng, Ju-Mei ^{[3
]}

Tuncali, Kemal ^{[1
]}

Lorch, Jorchen H. ^{[4
]}

Zaheer, Sarah N. ^{[5
]}

Gordon, Michael S. ^{[5
]}

Silverman, Stuart G. ^{[1
]}

机构：

[1] Brigham & Womens Hosp, Dept Radiol, Boston, MA 02115 USA

[2] Univ Manitoba, Dept Radiol, Winnipeg, MB R3T 2N2, Canada

[3] Brigham & Womens Hosp, Dept Anesthesiol, Boston, MA 02115 USA

[4] Dana Farber Canc Inst, Dept Med, Boston, MA 02115 USA

[5] Brigham & Womens Hosp, Dept Endocrinol, Boston, MA 02115 USA

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2015年 / 38卷 / 05期

关键词：

Image-guided intervention; Adrenal hyperplasia; Cushing's syndrome; Ectopic ACTH syndrome; Microwave ablation; RADIOFREQUENCY ABLATION; CUSHINGS-SYNDROME; CRYOABLATION; NEOPLASMS; TUMOR;

D O I：

10.1007/s00270-015-1056-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Bilateral adrenalectomy is currently the only available treatment for adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome (ectopic ACTH syndrome) that is refractory to pharmacologic therapy. We describe two patients with refractory ectopic ACTH syndrome who were treated with CT-guided percutaneous microwave ablation of both hyperplastic adrenal glands in a single session: O ne was not a surgical candidate, and the other had undergone unsuccessful surgery. Following the procedure, both patients achieved substantial decreases in serum cortisol, symptomatic improvement, and decreased anti-hypertensive medication requirements.

引用

页码：1335 / 1338

页数：4

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