Cushing syndrome treated by radiofrequency ablation of adrenal gland adenoma

被引：5

作者：

Nishi, Naoko ^{[1
]}

Tanaka, Junji ^{[2
]}

Minagawa, Akinobu ^{[3
]}

机构：

[1] Saitama Int Med Ctr, Dept Diagnost Imaging, Hidaka City, Saitama 3501298, Japan

[2] Saitama Med Univ Hosp, Dept Radiol, Saitama 3500495, Japan

[3] Saitama Med Univ Hosp, Dept Endocrinol & Diabet, Saitama 3500495, Japan

来源：

JAPANESE JOURNAL OF RADIOLOGY | 2012年 / 30卷 / 03期

关键词：

Adrenal adenoma; Cushing syndrome; Radiofrequency ablation; TUMORS;

D O I：

10.1007/s11604-011-0017-8

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

We performed radiofrequency ablation (RFA) in a 35-year-old woman who suffered from Cushing syndrome caused by functioning adenoma of the right adrenal gland. She had a history of tumor enucleation of functioning adenoma of the left adrenal gland 15 years earlier. However, this time she declined repeated surgical intervention. We performed RFA of the right adrenal adenoma, and the lesion was thought to be well ablated. Cortisol levels decreased to below the lower limit of normal after ablation, but recovered to within the normal range after 1 month using steroid substitution therapy. Although hydrocortisone administration was discontinued 18 months after RFA, cortisol levels remained within the normal range for another 2 years in follow-up.

引用

页码：274 / 276

页数：3

共 9 条

[1] Image-guided radiofrequency ablation for adrenocortical adenoma with Cushing syndrome: Outcomes after mean follow-up of 33 months [J].

Arima, Kiminobu ;

Yamakado, Kouichirou ;

Suzuki, Ryuichi ;

Matsuura, Hiroshi ;

Nakatsuka, Atsuhiro ;

Takeda, Kan ;

Sugimura, Yoshiki .

UROLOGY, 2007, 70 (03) :407-411

[2] Hypertensive crisis in a patient undergoing percutaneous radiofrequency ablation of an adrenal mass under general anesthesia [J].

Chini, EN ;

Brown, MJ ;

Farrell, MA ;

Charboneau, JW .

ANESTHESIA AND ANALGESIA, 2004, 99 (06) :1867-1869

[3] Radiofrequency Ablation for Benign Aldosterone-Producing Adenoma A Scarless Technique to an Old Disease [J].

Liu, Shirley Yuk-wah ;

Ng, Enders Kwok-wai ;

Lee, Paul Sing-fun ;

Wong, Simon Kin-hung ;

Chiu, Philip Wai-yan ;

Mui, Wilfred Lik-man ;

So, Wing-yee ;

Chow, Francis Chun-chung .

ANNALS OF SURGERY, 2010, 252 (06) :1058-1064

[4] Percutaneous CT-guided radiofrequency ablation of symptomatic bilateral adrenal metastases in a single session [J].

Lo, WK ;

vanSonnenberg, E ;

Shankar, S ;

Morrison, PR ;

Silverman, SG ;

Tuncali, K ;

Rabin, M .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2006, 17 (01) :175-179

[5] Adrenal neoplasms: CT-guided radiofrequency ablation - Preliminary results [J].

Mayo-Smith, WW ;

Dupuy, DE .

RADIOLOGY, 2004, 231 (01) :225-230

[6] Efficacy of Radiofrequency Ablation in the Treatment of Small Functional Adrenal Neoplasms [J].

Mendiratta-Lala, Mishal ;

Brennan, Darren D. ;

Brook, Olga R. ;

Faintuch, Salomao ;

Mowschenson, Peter M. ;

Sheiman, Robert G. ;

Goldberg, S. Nahum .

RADIOLOGY, 2011, 258 (01) :308-316

[7] Radiofrequency thermal ablation of abdominal tumors: Lessons learned from complications [J].

Rhim, H ;

Dodd, GD ;

Chintapalli, KN ;

Wood, BJ ;

Dupuy, DE ;

Hvizda, UL ;

Sewell, PE ;

Goldberg, SN .

RADIOGRAPHICS, 2004, 24 (01) :41-52

[8] Radiofrequency ablation of adrenal tumors and adrenocortical carcinoma metastases [J].

Wood, BJ ;

Abraham, J ;

Hvizda, JL ;

Alexander, HR ;

Fojo, T .

CANCER, 2003, 97 (03) :554-560

[9] Adrenal Metastasis From Hepatocellular Carcinoma: Radiofrequency Ablation Combined With Adrenal Arterial Chemoembolization in Six Patients [J].

Yamakado, Koichiro ;

Anai, Hiroshi ;

Takaki, Haruyuki ;

Sakaguchi, Hiroshi ;

Tanaka, Toshihiro ;

Kichikawa, Kimihiko ;

Takeda, Kan .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 192 (06) :W300-W305

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