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(Radiology. 1999;213:612-615.)
© RSNA, 1999


Technical Developments

Small Functional Adrenal Cortical Adenoma: Treatment with CT-guided Percutaneous Acetic Acid Injection-Report of Three Cases1

Huei-Lung Liang, MD, Huay-Ban Pan, MD, Ying-Huei Lee, MD, PhD, Jer-Shyung Huang, MD, Tony D. L. Wu, MD, Cheng-Tsung Chang, MD, Hsin-Lee Liang, MD, Tsung-Lung Yang, MD and Chien-Fang Yang, MD

1 From the Departments of Radiology (Huei-Lung L., H.B.P., J.S.H., T.L.Y., C.F.Y.), Surgery (Y.H.L., T.D.L.W.), and Medicine (C.T.C., Hsin-Lee L.), Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Rd, Kaohsiung, Taiwan 813, Republic of China, and National Yang-Ming University, Taipei, Taiwan. Received November 24, 1998; revision requested December 23; revision received January 25, 1999; accepted April 30. Address reprint requests to Huei-Lung L. (e-mail: hlliang@isca.vghks .gov.tw).

Two patients with Conn syndrome and one patient with Cushing syndrome underwent computed tomography (CT)-guided tumor ablation with a total of 5–11 mL of 50% acetic acid injected into their adrenal nodule (1.3–3.3 cm in diameter). No major complications were encountered during or after the procedure. All patients were symptom free with normal laboratory test results for at least 1-year follow-up. CT images showed complete cystic change with tumor size regression. Our preliminary results suggest that percutaneous acetic acid injection is a safe and effective alternative for treatment of small functional adrenal cortical adenoma.

Index terms: Acetic acid • Adrenal gland, neoplasms, 86.31 • Interventional procedures, 86.1266




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