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Percutaneous Ethanol Injection for Treatment of Adrenal Metastasis from Hepatocellular Carcinoma

Toshiya Shibata1, Yoji Maetani, Fumie Ametani, Kyo Itoh and Junji Konishi

1 All authors: Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, 54 Kawaharacho, Shogoin, Sakyoku, Kyoto, 606-8507, Japan.



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  		Fig. 1A. —68-year-old man with right adrenal metastasis Sonogram (A) and CT scan (B) reveal right adrenal metastasis (arrows, A) 3.5 cm in diameter.

 


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  		Fig. 1B. —68-year-old man with right adrenal metastasis Sonogram (A) and CT scan (B) reveal right adrenal metastasis (arrows, A) 3.5 cm in diameter.

 


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  		Fig. 1C. —68-year-old man with right adrenal metastasis Sonogram obtained during percutaneous ethanol injection shows diffusion of ethanol into tumor.

 


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  		Fig. 1D. —68-year-old man with right adrenal metastasis CT scan obtained after two sessions of percutaneous ethanol injection shows no enhanced lesions in tumor.

 


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  		Fig. 2. —72-year-old man with bilateral adrenal metastasis. CT scan obtained during last session of percutaneous ethanol injection shows introduced needles and ethanol into bilateral tumors. After session, patient showed general fatigue due to adrenal insufficiency.

 

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