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球囊阻塞性肾上腺中动脉栓塞术联合经皮微波消融术治疗肾细胞癌转移至肾上腺的肿瘤。

Balloon-occluded middle adrenal artery embolization and percutaneous microwave ablation of a metastatic adrenal tumor from renal cell carcinoma.

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology, UCLA Medical Center, Los Angeles, California, USA.

出版信息

Diagn Interv Radiol. 2022 Sep;28(5):495-497. doi: 10.5152/dir.2022.21055.

DOI:10.5152/dir.2022.21055
PMID:36218152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9682600/
Abstract

Renal cell carcinomas present with locally advanced or metastatic disease in 25% of patients. Thermal ablation may be considered in selected patients with single-site or oligometastatic disease in selected patients. We describe single-session transarterial particle embolization with the assistance of a balloon-occlusion catheter and microwave ablation of a large hypervascular adrenal metastasis using cone beam CT and fluoroscopic XperGuide needle guidance.

摘要

25%的患者的肾细胞癌表现为局部晚期或转移性疾病。对于单一部位或寡转移疾病的选定患者，可考虑采用热消融治疗。我们描述了使用球囊闭塞导管辅助的单次经动脉粒子栓塞，并使用锥形束 CT 和荧光 XperGuide 针引导进行微波消融治疗大的富血管性肾上腺转移瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/6009d5137091/dir-28-5-495_f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/c299db4c83d7/dir-28-5-495_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/ddcc776233cd/dir-28-5-495_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/393a0980e2c0/dir-28-5-495_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/6009d5137091/dir-28-5-495_f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/c299db4c83d7/dir-28-5-495_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/ddcc776233cd/dir-28-5-495_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/393a0980e2c0/dir-28-5-495_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0774/9682600/6009d5137091/dir-28-5-495_f004.jpg

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1
Balloon-occluded middle adrenal artery embolization and percutaneous microwave ablation of a metastatic adrenal tumor from renal cell carcinoma.球囊阻塞性肾上腺中动脉栓塞术联合经皮微波消融术治疗肾细胞癌转移至肾上腺的肿瘤。
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本文引用的文献

1
Clinical efficacy of chemoembolization with simultaneous radiofrequency ablation for treatment of adrenal metastases from hepatocellular carcinoma.经导管化疗栓塞联合射频消融治疗肝细胞癌肾上腺转移的临床疗效。
Cancer Imaging. 2018 Jul 31;18(1):24. doi: 10.1186/s40644-018-0157-5.
2
Effectiveness and safety of CT-guided percutaneous radiofrequency ablation of adrenal metastases.CT引导下经皮射频消融治疗肾上腺转移瘤的有效性和安全性。
Br J Radiol. 2018 May;91(1085):20170607. doi: 10.1259/bjr.20170607. Epub 2018 Mar 7.
3
Transarterial embolization (TAE) as add-on to percutaneous radiofrequency ablation (RFA) for the treatment of renal tumors: Review of the literature, overview of state-of-the-art embolization materials and further perspective of advanced image-guided tumor ablation.
经动脉栓塞术（TAE）作为经皮射频消融术（RFA）治疗肾肿瘤的辅助手段：文献综述、最新栓塞材料概述及先进图像引导肿瘤消融的进一步展望
Eur J Radiol. 2017 Jan;86:143-162. doi: 10.1016/j.ejrad.2016.10.024. Epub 2016 Nov 2.
4
Unresectable Adrenal Metastases: Clinical Outcomes of Radiofrequency Ablation.不可切除肾上腺转移瘤：射频消融的临床疗效。
Radiology. 2015 Nov;277(2):584-93. doi: 10.1148/radiol.2015142029. Epub 2015 May 21.
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Role of combined embolization and ablation in management of renal masses.联合栓塞与消融在肾肿块治疗中的作用
Semin Intervent Radiol. 2014 Mar;31(1):82-5. doi: 10.1055/s-0033-1363846.
6
Adrenal metastasis from hepatocellular carcinoma: radiofrequency ablation combined with adrenal arterial chemoembolization in six patients.肝细胞癌肾上腺转移：6例患者的射频消融联合肾上腺动脉化疗栓塞治疗
AJR Am J Roentgenol. 2009 Jun;192(6):W300-5. doi: 10.2214/AJR.08.1752.