Radiofrequency Ablation of Metastatic Pheochromocytoma

被引:32
作者
Venkatesan, Aradhana M. [1 ]
Locklin, Julia [1 ]
Lai, Edwin W. [2 ]
Adams, Karen T. [2 ]
Fojo, Antonio Tito [3 ]
Pacak, Karel [2 ]
Wood, Bradford J. [1 ]
机构
[1] NIH, Dept Radiol & Imaging Sci, Ctr Clin, Ctr Intervent Oncol, Bethesda, MD 20892 USA
[2] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Sect Med Neuroendocrinol, Bethesda, MD USA
[3] NCI, Expt Therapeut Sect, Med Oncol Branch, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
MALIGNANT PHEOCHROMOCYTOMA; METYROSINE; MANAGEMENT; TUMORS;
D O I
10.1016/j.jvir.2009.07.031
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
100231 [临床病理学]; 100902 [航空航天医学];
摘要
In the present report on the preliminary safety and effectiveness of radiofrequency (RF) ablation for pheochromocytoma metastases, seven metastases were treated in six patients (mean size, 3.4 cm; range, 2.2-6 cm). alpha- and beta-adrenergic and catecholamine synthesis inhibition and intraprocedural anesthesia monitoring were used. Safety was assessed by recording ablation-related complications. Complete ablation was defined as a lack of enhancement within the ablation zone on follow-up computed tomography. No serious adverse sequelae were observed. Complete ablation was achieved in six of seven metastases (mean follow-up, 12.3 months; range, 2.5-28 months). In conclusion, RF ablation may be safely performed for metastatic pheochromocytorna given careful attention to peri-procedural management.
引用
收藏
页码:1483 / 1490
页数:8
相关论文
共 22 条
[1]
Hypertensive crisis in a patient undergoing percutaneous radiofrequency ablation of an adrenal mass under general anesthesia [J].
Chini, EN ;
Brown, MJ ;
Farrell, MA ;
Charboneau, JW .
ANESTHESIA AND ANALGESIA, 2004, 99 (06) :1867-1869
[2]
Malignant pheochromocytoma: current status and initiatives for future progress [J].
Eisenhofer, G ;
Bornstein, SR ;
Brouwers, FM ;
Cheung, NKV ;
Dahia, PL ;
de Krijger, RR ;
Giordano, TJ ;
Greene, LA ;
Goldstein, DS ;
Lehnert, H ;
Manger, WM ;
Maris, JM ;
Neumann, HPH ;
Pacak, K ;
Shulkin, BL ;
Smith, DI ;
Tischler, AS ;
Young, WF .
ENDOCRINE-RELATED CANCER, 2004, 11 (03) :423-436
[3]
EISENHOFER G, 1986, CLIN CHEM, V32, P2030
[4]
Adverse drug reactions in patients with phaeochromocytoma - Incidence, prevention and management [J].
Eisenhofer, Graeme ;
Rivers, Graham ;
Rosas, Alejandro L. ;
Quezado, Zena ;
Manger, William M. ;
Pacak, Karel .
DRUG SAFETY, 2007, 30 (11) :1031-1062
[5]
Clinical experience over 48 years with pheochromocytoma [J].
Goldstein, RE ;
O'Neill, JA ;
Holcomb, GW ;
Morgan, WM ;
Neblett, WW ;
Oates, JA ;
Brown, N ;
Nadeau, J ;
Smith, B ;
Page, DL ;
Abumrad, NN ;
Scott, HW .
ANNALS OF SURGERY, 1999, 229 (06) :755-764
[6]
Pheochromocytomas: Can malignant potential be predicted? [J].
John, H ;
Ziegler, WH ;
Hauri, D ;
Jaeger, P .
UROLOGY, 1999, 53 (04) :679-683
[7]
Phaeochromocytoma [J].
Lenders, JWM ;
Eisenhofer, G ;
Mannelli, M ;
Pacak, K .
LANCET, 2005, 366 (9486) :665-675
[8]
Percutaneous CT-guided radiofrequency ablation of symptomatic bilateral adrenal metastases in a single session [J].
Lo, WK ;
vanSonnenberg, E ;
Shankar, S ;
Morrison, PR ;
Silverman, SG ;
Tuncali, K ;
Rabin, M .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2006, 17 (01) :175-179
[9]
Radiofrequency Ablation and Biopsy of Metastatic Pheochromocytoma: Emphasizing Safety Issues and Dangers [J].
Mamlouk, Mark D. ;
vanSonnenberg, Eric ;
Stringfellow, Gregory ;
Smith, Dean ;
Wendt, Albert .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2009, 20 (05) :670-673
[10]
A survey on adrenal incidentaloma in Italy [J].
Mantero, F ;
Terzolo, M ;
Arnaldi, G ;
Osella, G ;
Masini, AM ;
Alì, A ;
Giovagnetti, M ;
Opocher, G ;
Angeli, A .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2000, 85 (02) :637-644