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

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.
Authors:
; ;  [1] ;  [2] ; ;  [3] ;  [2] ;  [1]
  1. VU University Medical Center, Department of Radiology and Nuclear Medicine (Netherlands)
  2. Department of Surgery (Netherlands)
  3. VU University Medical Center, Department of Gastroenterology and Hepatology (Netherlands)
Publication Date:
OSTI Identifier:
22469869
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 38; Journal Issue: 4; Other Information: Copyright (c) 2015 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ADENOMAS; BILIARY TRACT; COMPUTERIZED TOMOGRAPHY; HAZARDS; HORMONES; IMAGES; LIVER; PATIENTS; PREGNANCY; RUPTURES; SHRINKAGE; WHO; WOMEN