Small functional adrenal cortical adenoma: treatment with CT-guided percutaneous acetic acid injection--report of three cases.
Two patients with Conn syndrome and one patient with Cushing syndrome underwent computed tomography (CT)-guided tumor ablation with a total of 5-11 mL of 50% acetic acid injected into their adrenal nodule (1.3-3.3 cm in diameter). No major complications were encountered during or after the procedure. All patients were symptom free with normal laboratory test results for at least 1-year follow-up. CT images showed complete cystic change with tumor size regression. Our preliminary results suggest that percutaneous acetic acid injection is a safe and effective alternative for treatment of small functional adrenal cortical adenoma.
Liang
H L
HL
Department of Radiology, Kaohsiung Veterans General Hospital, Taiwan, Republic of China. hlliang@isca.vghks.gov.tw
Pan
H B
HB
Lee
Y H
YH
Huang
J S
JS
Wu
T D
TD
Chang
C T
CT
Liang
H L
HL
Yang
T L
TL
Yang
C F
CF
D019342:Acetic Acid / Q000008:administration & dosage*; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D018246:Adrenocortical Adenoma / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D000328:Adult; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D019342:Acetic Acid