Skip to main content

Microwave Ablation of Adrenal Tumors

  • Chapter
  • First Online:
  • 1181 Accesses

Abstract

Adrenal tumors comprise a broad spectrum of benign and malignant neoplasm, including functional adrenal adenomas, pheochromocytomas, malignant adrenocortical carcinomas, myelolipomas, and adrenal metastases. The traditional treatment of adrenal tumors including open and laparoscopic resection has been proven to be potentially curative and to offer survival benefits; however, many patients are not surgical candidates. Therefore, less invasive techniques have been used in an attempt to treat adrenal neoplasm. As one of minimally invasive techniques, percutaneous image-guided microwave ablation has achieved optimistic effect in treatment of primary and metastatic adrenal tumors. In the following chapter, we review the patient selection, pre-procedure management, equipment, microwave ablation procedures, post-ablation observation, imaging follow-up, and therapeutic efficacy assessment of microwave ablation on adrenal tumors, in comparison to surgery, radiofrequency ablation, cryoablation, laser ablation, and chemical ablation.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Abbreviations

CT:

Computed tomography

MWA:

Microwave ablation

RFA:

Radiofrequency ablation

US:

Ultrasound

References

  1. Pua BB, Solomon SB. Ablative therapies in adrenal tumors: primary and metastatic. J Surg Oncol. 2012;106:626–31.

    Article  PubMed  Google Scholar 

  2. Brook OR, Mendiratta-Lala M, Brennan D, Siewert B, Faintuch S, Goldberg SN. Imaging findings after radiofrequency ablation of adrenal tumors. AJR Am J Roentgenol. 2011;196:382–8.

    Article  PubMed  Google Scholar 

  3. Wang Y, Liang P, Yu X, Cheng Z, Yu J, Dong J. Ultrasound-guided percutaneous microwave ablation of adrenal metastasis: preliminary results. Int J Hyperth. 2009;25:455–61.

    Article  CAS  Google Scholar 

  4. Tiberio GA, Solaini L, Arru L, Merigo G, Baiocchi GL, Giulini SM. Factors influencing outcomes in laparoscopic adrenal surgery. Langenbecks Arch Surg. 2013;398:735–43.

    Article  PubMed  Google Scholar 

  5. Vereczkei A, Molnar A, Horvath OP. Minimally invasive technique as the gold standard of adrenal surgery. Magy Seb. 2012;65:365–9.

    Article  PubMed  Google Scholar 

  6. Toniato A. Minimally invasive surgery for malignant adrenal tumors. Surgeon. 2013;11:253–7.

    Article  PubMed  Google Scholar 

  7. Mendiratta-Lala M, Brennan DD, Brook OR, Faintuch S, Mowschenson PM, Sheiman RG, Goldberg SN. Efficacy of radiofrequency ablation in the treatment of small functional adrenal neoplasms. Radiology. 2011;258:308–16.

    Article  PubMed  Google Scholar 

  8. Habib M, Tarazi I, Batta M. Arterial embolization for ruptured adrenal pheochromocytoma. Curr Oncol. 2010;17:65–70.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Maki DD, Haskal ZJ, Matthies A, Langer J, Nisenbaum HL, Vaughn D, Alavi A. Percutaneous ethanol ablation of an adrenal tumor. AJR Am J Roentgenol. 2000;174:1031–2.

    Article  CAS  PubMed  Google Scholar 

  10. Vogl TJ, Lehnert T, Eichler K, Proschek D, Floter J, Mack MG. Adrenal metastases: CT-guided and MR-thermometry-controlled laser-induced interstitial thermotherapy. Eur Radiol. 2007;17:2020–7.

    Article  PubMed  Google Scholar 

  11. Li X, Fan W, Zhang L, Zhao M, Huang Z, Li W, Gu Y, Gao F, Huang J, Li C, Zhang F, Wu P. CT-guided percutaneous microwave ablation of adrenal malignant carcinoma: preliminary results. Cancer. 2011;117:5182–8.

    Article  PubMed  Google Scholar 

  12. Nunes TF, Szejnfeld D, Xavier AC, Kater CE, Freire F, Ribeiro CA, Goldman SM. Percutaneous ablation of functioning adrenal adenoma: a report on 11 cases and a review of the literature. Abdom Imaging. 2013;38(5):1130–5.

    Google Scholar 

  13. Wolf FJ, Dupuy DE, Machan JT, Mayo-Smith WW. Adrenal neoplasms: effectiveness and safety of CT-guided ablation of 23 tumors in 22 patients. Eur J Radiol. 2012;81:1717–23.

    Article  PubMed  Google Scholar 

  14. Carrafiello G, Lagana D, Recaldini C, Giorgianni A, Ianniello A, Lumia D, D’Ambrosio A, Petulla M, Dionigi G, Fugazzola C. Imaging-guided percutaneous radiofrequency ablation of adrenal metastases: preliminary results at a single institution with a single device. Cardiovasc Intervent Radiol. 2008;31:762–7.

    Article  CAS  PubMed  Google Scholar 

  15. Lo WK, Vansonnenberg E, Shankar S, Morrison PR, Silverman SG, Tuncali K, Rabin M. Percutaneous CT-guided radiofrequency ablation of symptomatic bilateral adrenal metastases in a single session. J Vasc Interv Radiol. 2006;17:175–9.

    Article  PubMed  Google Scholar 

  16. Yamakado K, Anai H, Takaki H, Sakaguchi H, Tanaka T, Kichikawa K, Takeda K. Adrenal metastasis from hepatocellular carcinoma: radiofrequency ablation combined with adrenal arterial chemoembolization in six patients. AJR Am J Roentgenol. 2009;192:W300–5.

    Article  PubMed  Google Scholar 

  17. Welch BT, Atwell TD, Nichols DA, Wass CT, Callstrom MR, Leibovich BC, Carpenter PC, Mandrekar JN, Charboneau JW. Percutaneous image-guided adrenal cryoablation: procedural considerations and technical success. Radiology. 2011;258:301–7.

    Article  PubMed  Google Scholar 

  18. Baek JH, Lee JH, Valcavi R, Pacella CM, Rhim H, Na DG. Thermal ablation for benign thyroid nodules: radiofrequency and laser. Korean J Radiol. 2011;12:525–40.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Xiao YY, Tian JL, Li JK, Yang L, Zhang JS. CT-guided percutaneous chemical ablation of adrenal neoplasms. AJR Am J Roentgenol. 2008;190:105–10.

    Article  PubMed  Google Scholar 

  20. Cha DI, Lee MW, Rhim H, Choi D, Kim YS, Lim HK. Therapeutic efficacy and safety of percutaneous ethanol injection with or without combined radiofrequency ablation for hepatocellular carcinomas in high risk locations. Korean J Radiol. 2013;14:240–7.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Heilo A, Sigstad E, Fagerlid KH, Haskjold OI, Groholt KK, Berner A, Bjoro T, Jorgensen LH. Efficacy of ultrasound-guided percutaneous ethanol injection treatment in patients with a limited number of metastatic cervical lymph nodes from papillary thyroid carcinoma. J Clin Endocrinol Metab. 2011;96:2750–5.

    Article  CAS  PubMed  Google Scholar 

  22. Gu YK, Fan WJ, Huang JH, Zhang L, Gao F. Efficacy of CT-guided intra-tumoral dehydrated ethanol injection on lung metastasis from liver cancer. Ai Zheng. 2007;26:1112–5.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ping Liang MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Feng, B., Mu, M., Liang, P. (2015). Microwave Ablation of Adrenal Tumors. In: Liang, P., Yu, Xl., Yu, J. (eds) Microwave Ablation Treatment of Solid Tumors. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9315-5_20

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-9315-5_20

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-9314-8

  • Online ISBN: 978-94-017-9315-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics