Percutaneous Irreversible Electroporation of a Large Centrally Located Hepatocellular Adenoma in a Woman with a Pregnancy Wish

Journal Article · Sat Aug 15 04:00:00 EDT 2015 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-014-1041-8· OSTI ID:22469869

Nielsen, Karin ^[1]; Nieuwkerk, Karin M. van,; Vries, Richard A. de, ^[2]; Tol, Petrousjka van den ^[1]

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1. Department of Surgery (Netherlands)
2. VU University Medical Center, Department of Gastroenterology and Hepatology (Netherlands)

Irreversible electroporation (IRE) is a novel image-guided ablation technique that is rapidly gaining popularity in the treatment of malignant liver tumors located near large vessels or bile ducts. We describe a 28-year-old female patient with a 5 cm large, centrally located hepatocellular adenoma who wished to get pregnant. Regarding the risk of growth and rupture of the adenoma caused by hormonal changes during pregnancy, treatment of the tumor was advised prior to pregnancy. However, due to its central location, the tumor was considered unsuitable for resection and thermal ablation. Percutaneous CT-guided IRE was performed without complications and led to rapid and impressive tumor shrinkage. Subsequent pregnancy and delivery went uncomplicated. This case report suggests that the indication for IRE may extend to the treatment of benign liver tumors that cannot be treated safely otherwise.

• OSTI ID: 22469869
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 38; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ADENOMAS
BILIARY TRACT
COMPUTERIZED TOMOGRAPHY
HAZARDS
HORMONES
IMAGES
LIVER
PATIENTS
PREGNANCY
RUPTURES
SHRINKAGE
WHO
WOMEN