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

Abstract

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: Hester J Scheffer, Marleen C A M Melenhorst, Aukje A J M van Tilborg, Karin Nielsen, Karin M van Nieuwkerk, Richard A de Vries, Petrousjka M P van den Tol, Martijn R Meijerink
• Journal: Cardiovascular and interventional radiology (Cardiovasc Intervent Radiol) Vol. 38 Issue 4 Pg. 1031-5 (Aug 2015) ISSN: 1432-086X [Electronic] United States
• PMID: 25537309 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoma, Liver Cell (therapy)
• Adult
• Electroporation
• Female
• Humans
• Liver (diagnostic imaging)
• Liver Neoplasms (therapy)
• Pregnancy
• Radiography, Interventional
• Tomography, X-Ray Computed
• Treatment Outcome