Hamamatsu University School of Medicine, Japan.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231218135. doi: 10.1177/23247096231218135.
A 57-year-old woman was diagnosed with adrenocortical carcinoma. Following the adrenalectomy, she underwent adjuvant radiation and mitotane therapy; however, liver metastases were observed. Repeated radiofrequency ablation (RFA) was performed for liver metastases. In addition, a multidisciplinary approach combining systemic chemotherapy, radiotherapy, and surgery was used for lung and distant lymph node metastases that arose during the course of treatment. Notably, 49 months have passed since the adrenalectomy and 36 months since the recurrence of the liver metastases, and the patient remains on multidisciplinary therapy. Thus, RFA for liver metastasis of adrenocortical carcinoma may be an effective component of a multidisciplinary treatment.
一位 57 岁女性被诊断为肾上腺皮质癌。肾上腺切除术之后,她接受了辅助放疗和米托坦治疗;然而,发现了肝脏转移。为肝脏转移灶进行了多次射频消融(RFA)。此外,还采用了包括全身化疗、放疗和手术在内的多学科治疗方案来治疗治疗过程中出现的肺和远处淋巴结转移。值得注意的是,自肾上腺切除术以来已经过去了 49 个月,自肝转移复发以来已经过去了 36 个月,患者仍在接受多学科治疗。因此,RFA 治疗肾上腺皮质癌肝转移可能是多学科治疗的有效组成部分。