Successful Treatment of Hepatocellular Adenoma with Percutaneous Radiofrequency Ablation
Thomas D. Atwell1,
David J. Brandhagen2,
J. William Charboneau1,
David M. Nagorney3,
Matthew R. Callstrom1 and
Michael A. Farrell1
1 Department of Diagnostic Radiology, Mayo Clinic College of Medicine, 200
1st St. SW, Rochester, MN 55905.
2 Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine,
Rochester, MN.
3 Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN.

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Fig. 1A. 32-year-old otherwise healthy woman admitted to hospital after
acetaminophen overdose. Subsequent sonography showed indeterminate liver mass.
CT scan after IV contrast enhancement shows 3.1-cm hypoenhancing mass in left
lobe of liver.
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Fig. 1B. 32-year-old otherwise healthy woman admitted to hospital after
acetaminophen overdose. Subsequent sonography showed indeterminate liver mass.
Longitudinal sonogram of liver obtained during course of radiofrequency
ablation shows early liberation of gas at ends of electrode tines
(arrows).
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Fig. 1C. 32-year-old otherwise healthy woman admitted to hospital after
acetaminophen overdose. Subsequent sonography showed indeterminate liver mass.
CT scan of liver with IV contrast enhancement performed 17 months later shows
retraction of ablation scar and no evidence of recurrent adenoma.
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Fig. 2A. 48-year-old woman with history of oral contraceptive use and
unrelated inflammatory muscle disorder. Axial MRI images using in- (A)
and out-of-phase (B) imaging shows considerable signal dropout
(arrow, B) in otherwise invisible mass in right lobe of
liver.
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Fig. 2B. 48-year-old woman with history of oral contraceptive use and
unrelated inflammatory muscle disorder. Axial MRI images using in- (A)
and out-of-phase (B) imaging shows considerable signal dropout
(arrow, B) in otherwise invisible mass in right lobe of
liver.
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Fig. 2C. 48-year-old woman with history of oral contraceptive use and
unrelated inflammatory muscle disorder. Longitudinal sonogram of liver shows
hyperechoic 2.4-cm mass (arrow) confirmed to be hepatocellular
adenoma at biopsy.
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Fig. 2D. 48-year-old woman with history of oral contraceptive use and
unrelated inflammatory muscle disorder. Longitudinal sonogram obtained during
course of radiofrequency ablation shows echogenic tines (arrows) of
umbrella-type electrode that encompass adenoma.
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Copyright © 2005 by the American Roentgen Ray Society.