Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience
Abstract Percutaneous thermal ablation is a minimally invasive treatment for liver, kidney, lung, bone, and thyroid tumors. This treatment also has been used to treat adrenal tumors in patients, but there is no evidence for the efficacy of thermal ablation of adrenal cysts. The present study was per...
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| Format: | Article |
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Nature Portfolio
2023-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-30330-7 |
| _version_ | 1797864620133711872 |
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| author | Shin Jeong Pak Yu-mi Lee Pyo Nyun Kim Byung-Chang Kim Jae Won Cho Won Woong Kim Tae-Yon Sung Ki-wook Chung Suck Joon Hong |
| author_facet | Shin Jeong Pak Yu-mi Lee Pyo Nyun Kim Byung-Chang Kim Jae Won Cho Won Woong Kim Tae-Yon Sung Ki-wook Chung Suck Joon Hong |
| author_sort | Shin Jeong Pak |
| collection | DOAJ |
| description | Abstract Percutaneous thermal ablation is a minimally invasive treatment for liver, kidney, lung, bone, and thyroid tumors. This treatment also has been used to treat adrenal tumors in patients, but there is no evidence for the efficacy of thermal ablation of adrenal cysts. The present study was performed to analyze the experience of a single center with percutaneous radiofrequency ablation (RFA) of adrenal cysts and to evaluate its efficacy. The present study enrolled all patients who underwent percutaneous RFA for unilateral adrenal cysts from 2019 to 2021. All patients underwent USG-guided percutaneous aspiration of cystic fluid, followed by RFA. A total nine patients with adrenal cysts were included in this study. All of them underwent technically successful percutaneous RFA, with no immediate complication. Follow-up CT 3 months after RFA showed that six of the nine adrenal cysts showed good responses, with reductions in cyst volume ranging from 86.4 to 97.9%. One patient had poor response in the cyst size (volume reduction rate 11.2%). She underwent secondary RFA with resulting that the cyst volume reduced by 91.1%. After a median follow-up period of 17.2 months, eight patients showed no evidence of regrowth. The patient, who showed evidence of regrowth, declined any other treatment and has been under regular surveillance. None of the nine patients developed adrenal insufficiency during the follow-up period. In conclusion, percutaneous RFA is a safe and effective minimally invasive treatment for adrenal cysts, suggesting that percutaneous RFA may be a good alternative option in selected patients. |
| first_indexed | 2024-04-09T22:56:00Z |
| format | Article |
| id | doaj.art-473f442055d8470eb226d2d883479f8b |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T22:56:00Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-473f442055d8470eb226d2d883479f8b2023-03-22T11:15:54ZengNature PortfolioScientific Reports2045-23222023-02-011311810.1038/s41598-023-30330-7Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experienceShin Jeong Pak0Yu-mi Lee1Pyo Nyun Kim2Byung-Chang Kim3Jae Won Cho4Won Woong Kim5Tae-Yon Sung6Ki-wook Chung7Suck Joon Hong8Department of Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Surgery, Asan Medical Center, University of Ulsan College of MedicineDirector of abdominal radiology, Korean Teleradiology Reading CenterDepartment of Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Surgery, Uijeongbu Eulji Medical Center, Eulji UniversityAbstract Percutaneous thermal ablation is a minimally invasive treatment for liver, kidney, lung, bone, and thyroid tumors. This treatment also has been used to treat adrenal tumors in patients, but there is no evidence for the efficacy of thermal ablation of adrenal cysts. The present study was performed to analyze the experience of a single center with percutaneous radiofrequency ablation (RFA) of adrenal cysts and to evaluate its efficacy. The present study enrolled all patients who underwent percutaneous RFA for unilateral adrenal cysts from 2019 to 2021. All patients underwent USG-guided percutaneous aspiration of cystic fluid, followed by RFA. A total nine patients with adrenal cysts were included in this study. All of them underwent technically successful percutaneous RFA, with no immediate complication. Follow-up CT 3 months after RFA showed that six of the nine adrenal cysts showed good responses, with reductions in cyst volume ranging from 86.4 to 97.9%. One patient had poor response in the cyst size (volume reduction rate 11.2%). She underwent secondary RFA with resulting that the cyst volume reduced by 91.1%. After a median follow-up period of 17.2 months, eight patients showed no evidence of regrowth. The patient, who showed evidence of regrowth, declined any other treatment and has been under regular surveillance. None of the nine patients developed adrenal insufficiency during the follow-up period. In conclusion, percutaneous RFA is a safe and effective minimally invasive treatment for adrenal cysts, suggesting that percutaneous RFA may be a good alternative option in selected patients.https://doi.org/10.1038/s41598-023-30330-7 |
| spellingShingle | Shin Jeong Pak Yu-mi Lee Pyo Nyun Kim Byung-Chang Kim Jae Won Cho Won Woong Kim Tae-Yon Sung Ki-wook Chung Suck Joon Hong Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience Scientific Reports |
| title | Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience |
| title_full | Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience |
| title_fullStr | Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience |
| title_full_unstemmed | Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience |
| title_short | Short-term outcome of adrenal radiofrequency ablation of adrenal cysts: a single-center experience |
| title_sort | short term outcome of adrenal radiofrequency ablation of adrenal cysts a single center experience |
| url | https://doi.org/10.1038/s41598-023-30330-7 |
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