A Single-Institution Experience in Image-Guided Thermal Ablation of Adrenal Gland Metastases

Percutaneous microwave ablation of adrenal tumours under ultrasound guidance in 33 patients with 35 tumours: A single-centre experience

“…The rate of complications is lower than that reported in previous studies with a surgical resection approach (0% versus 3-20%) [4], and the capability of local tumour control is almost equal to that of adrenalectomy (84.8% versus 77-83%) [15][16][17]. In this study, LTP was observed in only 7.1% (2/28) of tumours in the small tumour group ( 5 cm); this rate is lower than that reported in a previous study [18]. We conclude that, with appropriate patient selection and more technical experience, MWA may achieve radical curative effects and become an alternative for those who are unable or unwilling to undergo surgical resection, especially for tumours less than 5 cm in diameter.…”

“…Another concern regarding adrenal ablation is thermal or mechanical injury to the adjacent organs, such as the pancreatic tail, the extreme underside of the spleen, the gastric fundus on the left side, as well as the liver and inferior vena cava on the right side. Welch et al [18] reported a complication rate of 8.6%, which included haemothorax, pleural effusion and splenic haemorrhage. In this study, no patients experienced thermal or mechanical damage, potentially due to the careful review of prior imaging to determine the optimal needle path, the strict grasp of the indication, broad application of artificial ascites, close intraoperative realtime sonography monitoring of the needle tip and hyperechoic region, and strict temperature control within the tumour marginal tissue.…”

Efficacy and Safety of Percutaneous Microwave Ablation and Cementoplasty in the Treatment of Painful Spinal Metastases and Myeloma

“…[36][37][38] A few series of image-guided ablation of limited metastatic disease have recently been published, including both exclusively osseous metastases and mixed disease. 12,[39][40][41][42] Limited series in the literature show promising local control rates with oligometastatic disease. 19,[43][44][45][46] In 1 series, percutaneous thermal ablation of metastatic spine lesions could achieve a reasonable rate of curative therapy (up to 67% at 1 year 12 ).…”

Cryoablation for Small Renal Masses: Selection Criteria, Complications, and Functional and Oncologic Results

“…Data from small single-institution series suggest that PCA is a safe and feasible option in the treatment of oligometastatic renal cell carcinoma (RCC) either as part of a multimodal approach in the setting of metastatic disease or as a relatively cost-effective palliative option [62][63][64].…”