Asian Conference on Tumor Ablation Guidelines for Adrenal Tumor Ablation

Abstract

Thermal ablation is a good alternative treatment in patients who are unable to undergo adrenalectomy. Even though the Asian Conference on Tumor Ablation (ACTA) has been held for many years, adrenal ablation guidelines have not been established. No guidelines for adrenal ablation are established in American and European countries, either. The aim of this review was to introduce the first version of ACTA guidelines for adrenal tumor ablation.

Case report of trans-renal ablation procedures for a recurrent pheochromocytoma in von Hippel-Lindau disease

“…Trans-renal ablation and hydrodissection were technically successful in the present case without significant complications. The kidney is a hypervascular organ compared with during ablation can lead to serious complications, such as perforation, peritonitis, abscess, or sepsis [2,6]. An injured pancreas may develop acute pancreatitis, juice leakage, or abscess formation [7].…”

“…If the diaphragm is injured, various complications may occur such as chest pain, dyspnea, eventuation, or hernia [10]. Injured lungs may result in pneumonia, effusion, fistulas, or pneumothorax [2,6].…”

“…Accordingly, tumorectomy or hemiadrenalectomy is frequently recommended in patients with a history of unilateral adrenalectomy, to avoid adrenal insufficiency. Such cases occur in patients with hereditary pheochromocytomas associated with von Hippel-Lindau (VHL) disease or in multiple endocrine neoplasias [2].…”

2023 Korean Endocrine Society Consensus Guidelines for the Diagnosis and Management of Primary Aldosteronism

“…In addition, there is a possibility of incomplete resection of aldosterone-secreting lesions. Percutaneous radiofrequency ablation is performed under local anesthesia and sedation with minimal skin incision [ 120 ]. This may be acceptable as an alternative for patients who are reluctant to undergo surgery and for those who are not eligible for a surgery due to their comorbidities.…”

Development and preclinical evaluation of multifunctional hydrogel for precise thermal protection during thermal ablation

“…Image-guided thermal ablation (TA) has been increasingly applied for treating benign and malignant tumors in a wide range of organs [ 1 , 2 ], including the liver [ 3 , 4 ], lung [ 5 , 6 ], kidney [ 7 ], bone [ 8 ], thyroid [ 9 , 10 ], adrenal [ 11 , 12 ], and soft tissue [ 13 , 14 ]. TA produces high temperatures locally to induce irreversible cell injury, ultimately tumor apoptosis, and coagulative necrosis [ 2 , 15 , 16 ].…”