Manchec Barbara, Koethe Yilun, Schiro Brian, Peña Constantino, Gandhi Ripal
Department of Radiology, Advent Health Medical Group/Central Florida Division, Orlando, FL.
Miami Cardiac and Vascular Institute, Miami Cancer Institute, Miami, FL.
Tech Vasc Interv Radiol. 2020 Jun;23(2):100676. doi: 10.1016/j.tvir.2020.100676. Epub 2020 May 25.
Incidental adrenal masses are common and are found in 4% of the CT scans. While clinical history, laboratory results, and imaging characteristics are typically sufficient for diagnosis of an adrenal lesion, a biopsy is sometimes warranted. In some cases, adrenal mass ablation is subsequently indicated. This article serves as a brief but comprehensive review of preprocedural work-up and planning before an adrenal mass ablation, as well as a discussion on ablation techniques, associated challenges and solutions, and management of expected and unexpected outcomes.
肾上腺偶发瘤很常见,在4%的CT扫描中可被发现。虽然临床病史、实验室检查结果和影像学特征通常足以诊断肾上腺病变,但有时仍需要进行活检。在某些情况下,随后需要进行肾上腺肿块消融。本文简要而全面地综述了肾上腺肿块消融术前的检查和规划,以及消融技术、相关挑战与解决方案,以及对预期和意外结果的管理。