Percutaneous ablation of adrenal tumors.
Adrenal tumors comprise a broad spectrum of benign and malignant neoplasms and include functional adrenal adenomas, pheochromocytomas, primary adrenocortical carcinoma, and adrenal metastases. Percutaneous ablative approaches that have been described and used in the treatment of adrenal tumors include percutaneous radiofrequency ablation, cryoablation, microwave ablation, and chemical ablation. Local tumor ablation in the adrenal gland presents unique challenges, secondary to the adrenal gland's unique anatomic and physiological features. The results of clinical series employing percutaneous ablative techniques in the treatment of adrenal tumors are reviewed in this article. Clinical and technical considerations unique to ablation in the adrenal gland are presented, including approaches commonly used in our practices, and risks and potential complications are discussed.
Venkatesan
Aradhana M
AM
Center for Interventional Oncology, Department of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA. venkatesana@cc.nih.gov
Locklin
Julia
J
Dupuy
Damian E
DE
Wood
Bradford J
BJ
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D000368:Aged; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods; D003452:Cryosurgery; D000431:Ethanol / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008872:Microwaves / Q000627:therapeutic use; D018579:Patient Selection; D015641:Radiography, Interventional; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000431:Ethanol