How We Do It: Adrenal Biopsy and Ablation

Adrenal lesions represent a heterogeneous group of neoplasms that may be benign or malignant. If imaging fails to exclude a lesion as definitely benign or if molecular profiling is required, percutaneous image-guided biopsy may be indicated. When an adrenal lesion requires surgical resection, some p...

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Main Authors: Ashraf Thabet, Rita Lahoud, Khalid Shaqdan, Ronald S. Arellano, Raul N. Uppot
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-07-01
Series:The Arab Journal of Interventional Radiology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_6_19
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author Ashraf Thabet
Rita Lahoud
Khalid Shaqdan
Ronald S. Arellano
Raul N. Uppot
author_facet Ashraf Thabet
Rita Lahoud
Khalid Shaqdan
Ronald S. Arellano
Raul N. Uppot
author_sort Ashraf Thabet
collection DOAJ
description Adrenal lesions represent a heterogeneous group of neoplasms that may be benign or malignant. If imaging fails to exclude a lesion as definitely benign or if molecular profiling is required, percutaneous image-guided biopsy may be indicated. When an adrenal lesion requires surgical resection, some patients are found to be too high at surgical risk or some patients may refuse adrenalectomy. Image-guided percutaneous thermal ablation can be an effective alternative – radiofrequency, microwave, and cryoablation have all been described in literature for the successful treatment of adrenal tumors. In this article, technical and clinical factors that reduce the risk of complications, some unique to the adrenal gland, are discussed.
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institution Kabale University
issn 2542-7075
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language English
publishDate 2019-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series The Arab Journal of Interventional Radiology
spelling doaj-art-5b8dc1f24b9a48599e1c8a63b148bae32025-08-20T03:33:10ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832019-07-01302505710.4103/AJIR.AJIR_6_19How We Do It: Adrenal Biopsy and AblationAshraf Thabet0Rita Lahoud1Khalid Shaqdan2Ronald S. Arellano3Raul N. Uppot4Department of Radiology, Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA, USADepartment of Radiology, Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA, USADepartment of Radiology, Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA, USADepartment of Radiology, Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA, USADepartment of Radiology, Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA, USAAdrenal lesions represent a heterogeneous group of neoplasms that may be benign or malignant. If imaging fails to exclude a lesion as definitely benign or if molecular profiling is required, percutaneous image-guided biopsy may be indicated. When an adrenal lesion requires surgical resection, some patients are found to be too high at surgical risk or some patients may refuse adrenalectomy. Image-guided percutaneous thermal ablation can be an effective alternative – radiofrequency, microwave, and cryoablation have all been described in literature for the successful treatment of adrenal tumors. In this article, technical and clinical factors that reduce the risk of complications, some unique to the adrenal gland, are discussed.http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_6_19ablationadrenalbiopsycryoablationhypertensive crisismicrowaveradiofrequency
spellingShingle Ashraf Thabet
Rita Lahoud
Khalid Shaqdan
Ronald S. Arellano
Raul N. Uppot
How We Do It: Adrenal Biopsy and Ablation
The Arab Journal of Interventional Radiology
ablation
adrenal
biopsy
cryoablation
hypertensive crisis
microwave
radiofrequency
title How We Do It: Adrenal Biopsy and Ablation
title_full How We Do It: Adrenal Biopsy and Ablation
title_fullStr How We Do It: Adrenal Biopsy and Ablation
title_full_unstemmed How We Do It: Adrenal Biopsy and Ablation
title_short How We Do It: Adrenal Biopsy and Ablation
title_sort how we do it adrenal biopsy and ablation
topic ablation
adrenal
biopsy
cryoablation
hypertensive crisis
microwave
radiofrequency
url http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_6_19
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AT raulnuppot howwedoitadrenalbiopsyandablation