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Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome.

Publication ,  Journal Article
Sarma, A; Shyn, PB; Vivian, MA; Ng, J-M; Tuncali, K; Lorch, JH; Zaheer, SN; Gordon, MS; Silverman, SG
Published in: Cardiovasc Intervent Radiol
October 2015

Bilateral adrenalectomy is currently the only available treatment for adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome (ectopic ACTH syndrome) that is refractory to pharmacologic therapy. We describe two patients with refractory ectopic ACTH syndrome who were treated with CT-guided percutaneous microwave ablation of both hyperplastic adrenal glands in a single session: O ne was not a surgical candidate, and the other had undergone unsuccessful surgery. Following the procedure, both patients achieved substantial decreases in serum cortisol, symptomatic improvement, and decreased anti-hypertensive medication requirements.

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Published In

Cardiovasc Intervent Radiol

DOI

EISSN

1432-086X

Publication Date

October 2015

Volume

38

Issue

5

Start / End Page

1335 / 1338

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Radiography, Interventional
  • Nuclear Medicine & Medical Imaging
  • Microwaves
  • Male
  • Hyperplasia
  • Humans
  • Female
  • Aged
 

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Sarma, A., Shyn, P. B., Vivian, M. A., Ng, J.-M., Tuncali, K., Lorch, J. H., … Silverman, S. G. (2015). Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome. Cardiovasc Intervent Radiol, 38(5), 1335–1338. https://doi.org/10.1007/s00270-015-1056-9
Sarma, Asha, Paul B. Shyn, Mark A. Vivian, Ju-Mei Ng, Kemal Tuncali, Jorchen H. Lorch, Sarah N. Zaheer, Michael S. Gordon, and Stuart G. Silverman. “Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome.Cardiovasc Intervent Radiol 38, no. 5 (October 2015): 1335–38. https://doi.org/10.1007/s00270-015-1056-9.
Sarma A, Shyn PB, Vivian MA, Ng J-M, Tuncali K, Lorch JH, et al. Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome. Cardiovasc Intervent Radiol. 2015 Oct;38(5):1335–8.
Sarma, Asha, et al. “Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome.Cardiovasc Intervent Radiol, vol. 38, no. 5, Oct. 2015, pp. 1335–38. Pubmed, doi:10.1007/s00270-015-1056-9.
Sarma A, Shyn PB, Vivian MA, Ng J-M, Tuncali K, Lorch JH, Zaheer SN, Gordon MS, Silverman SG. Single-Session CT-Guided Percutaneous Microwave Ablation of Bilateral Adrenal Gland Hyperplasia Due to Ectopic ACTH Syndrome. Cardiovasc Intervent Radiol. 2015 Oct;38(5):1335–1338.
Journal cover image

Published In

Cardiovasc Intervent Radiol

DOI

EISSN

1432-086X

Publication Date

October 2015

Volume

38

Issue

5

Start / End Page

1335 / 1338

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Radiography, Interventional
  • Nuclear Medicine & Medical Imaging
  • Microwaves
  • Male
  • Hyperplasia
  • Humans
  • Female
  • Aged