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CT-Guided Percutaneous Chemical Ablation of Adrenal Neoplasms

Yue-Yong Xiao1, Jin-Lin Tian, Jia-Kai Li, Li Yang and Jin-Shan Zhang

1 All authors: Department of Radiology, Chinese PLA General Hospital, Fuxing Rd. 28, Beijing, 100853, China.


Figure 1
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Fig. 1A —41-year-old man with left adrenal metastasis. Transverse CT scan obtained with patient in prone position shows needle (arrow) in left adrenal mass (arrowheads).

 

Figure 2
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Fig. 1B —41-year-old man with left adrenal metastasis. Image obtained after second injection of acetic acid and iodized oil shows good permeation of compound (arrow).

 

Figure 3
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Fig. 1C —41-year-old man with left adrenal metastasis. Six months after A and B, follow-up CT image shows dotlike lesion (arrowhead) remains and iodized oil is within diaphragm.

 

Figure 4
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Fig. 1D —41-year-old man with left adrenal metastasis. One year after A and B, follow-up CT image shows lesion has fully resolved.

 

Figure 5
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Fig. 2A —Primary left adrenal adenoma in 39-year-old man. Transverse CT image obtained with patient in prone position shows fine needle (arrow) in left adrenal mass (arrowheads).

 

Figure 6
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Fig. 2B —Primary left adrenal adenoma in 39-year-old man. CT image obtained after first injection of alcohol reveals focal collection of alcohol in adrenal tumor (arrowhead).

 

Figure 7
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Fig. 2C —Primary left adrenal adenoma in 39-year-old man. CT image obtained after third ethanol injection shows distribution of alcohol in tumor (arrowheads) is more diffuse than in B.

 

Figure 8
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Fig. 2D —Primary left adrenal adenoma in 39-year-old man. Follow-up CT image obtained 1 year after A-C reveals that most of lesion (arrowheads) is replaced by fatty tissue.

 

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