Management of Liver Adenomatosis by Radiofrequency Ablation

Abstract

Traditionally, surgical resection has been the treatment of choice in many patients with hepatocellular adenoma because of the risk of rupture, hemorrhage and malignant transformation. However, some patients are not amenable for surgery due to the extensive involvement of the liver, as in patients with liver adenomatosis. We report 2 cases with liver adenomatosis in which we combined surgery with open and percutaneous radiofrequency ablation for lesions located in both lobes of the liver. Minimal invasive treatment including radiofrequency ablation may offer new perspectives in the treatment of patients with liver adenomatosis.

Hepatocellular adenoma management: Call for shared guidelines and multidisciplinary approach

“…Orthotopic liver transplantation in adenomatosis remains an exception [18,19]. Interventional radiologists play a role in the management through radiofrequency and embolization of the nodule [20][21][22], two techniques more recently proposed in this indication.…”