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2014 ; 31
(2
): 149-56
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Image-guided ablation of adrenal lesions
#MMPMID25049444
Yamakado K
Semin Intervent Radiol
2014[Jun]; 31
(2
): 149-56
PMID25049444
show ga
Although laparoscopic adrenalectomy has remained the standard of care for the
treatment for adrenal tumors, percutaneous image-guided ablation therapy, such as
chemical ablation, radiofrequency ablation, cryoablation, and microwave ablation,
has been shown to be clinically useful in many nonsurgical candidates. Ablation
therapy has been used to treat both functioning adenomas and malignant tumors,
including primary adrenal carcinoma and metastasis. For patients with functioning
adenomas, biochemical and symptomatic improvement is achieved in 96 to 100% after
ablation; for patients with malignant adrenal neoplasms, however, the survival
benefit from ablation therapy remains unclear, though good initial results have
been reported. This article outlines the current role of ablation therapy for
adrenal lesions, as well as identifying some of the technical considerations for
this procedure.