术后肾上腺大囊肿复发：经皮酒精消融治疗
Postsurgical large adrenal cyst recurrence: treatment by means of percutaneous alcohol ablation.
作者信息
Hatzidakis Adam, Kozana Androniki, Petrakis Ioannis, Mamoulakis Charalampos
机构信息
Department of Radiology, University of Hospital Heraklion, Heraklion, Greece.
出版信息
BMJ Case Rep. 2014 Dec 22;2014:bcr2014206962. doi: 10.1136/bcr-2014-206962.
Abstract
We describe a case of a 28-year-old man who presented with symptomatic, right-sided, large adrenal cyst recurrence 9 months after laparoscopic decortication. Final treatment was achieved by means of percutaneous aspiration and ethanol ablation. On 6-month follow-up the patient was asymptomatic and the cyst remained minimised. In our opinion, percutaneous treatment with alcohol ablation of primary benign symptomatic or recurrent uncomplicated adrenal cysts should be considered as an effective alternative method when patients are frail or surgery fails to resolve the problem.
摘要
我们描述了一例28岁男性患者，该患者在腹腔镜肾上腺皮质剥脱术后9个月出现有症状的右侧肾上腺大囊肿复发。最终通过经皮穿刺抽吸和乙醇消融进行治疗。在6个月的随访中，患者无症状，囊肿持续缩小。我们认为，当患者身体虚弱或手术无法解决问题时，经皮酒精消融治疗原发性良性有症状或复发性单纯性肾上腺囊肿应被视为一种有效的替代方法。
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3
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4
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