Case Report: Complete Necrosis of a Large Adrenocortical Cancer and Liver Metastases Achieved by Selective Arterial Embolization: A Case Study and Review of Literature

Abstract

There is very limited experience regarding the interventional radiological treatment of adrenocortical cancer (ACC). We present the case of a 57-year-old female patient with a large, potentially unresectable left-sided ACC and two hepatic metastases. Both liver tumors were effectively treated by trans-arterial embolization (TAE), followed by TAE of the bulky primary tumor as a life-saving intervention necessitated by severe intratumoral bleeding. Surgical removal of the primary tumor revealed complete necrosis. The patient is considered tumor free after 3.5 years. To the best of our knowledge, this is the first report to show that even a primary ACC may be completely ablated by selective embolization, and the fourth to prove the curative potential of liver TAE for ACC metastases. This case highlights the potential of selective embolization in ACC treatment.

Treatment of congenital atypical haemangiosarcoma in a foal

“…It was therefore decided to perform arteriography and embolisation prior to surgical excision. In human medicine, transarterial embolisation of tumours have been routinely practiced worldwide in the last decades (Huszty et al, 2021; Schnapauff et al, 2018). However, in veterinary medicine, very few cases have been reported with tumour embolisation, either with (Kawamura et al, 2021) or without later surgical excision (Cave et al, 2003; Culp et al, 2021; de La Villeon et al, 2011; Iwai et al, 2015; Oishi et al, 2019; Sun et al, 2002; Weisse et al, 2002).…”