CT-guided radiofrequency ablation of an aldosterone-secreting primary adrenal tumor in a surgically unfit patient.
Because of the speed and efficiency of laparoscopic adrenalectomy, alternative surgical procedures for adrenal adenomas are uncommon. The present report outlines the case of a young patient with an adrenal adenoma causing Conn syndrome who was a poor candidate for surgical treatment. Computed tomography (CT)-guided radiofrequency ablation of the adenoma was performed with a paraspinal approach and injection of dextrose 5% in water. After successful ablation of the 1.8-cm x 1.2-cm mass according to imaging criteria, the patient's symptoms largely resolved.
Johnson
Stephen P
SP
Division of Interventional Radiology, University of Colorado, 4900 East Ninth Avenue, Denver, CO, USA. stephen.johnson@uchsc.edu
Bagrosky
Brian M
BM
Mitchell
Erica L
EL
McIntyre
Robert C
RC
Grant
Nicholas G
NG
D000236:Adenoma / Q000150:complications / Q000000981:diagnostic imaging / Q000378:metabolism / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000378:metabolism / Q000601:surgery*; D000315:Adrenalectomy / Q000009:adverse effects; D000328:Adult; D000450:Aldosterone / Q000378:metabolism*; D017115:Catheter Ablation; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D015641:Radiography, Interventional; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000450:Aldosterone