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Computed tomography–guided percutaneous cryoablation of hereditary adrenal pheochromocytoma in three patients

  • Emily Griffing EMAIL logo , Brenton Reading , Francesco De Luca , Daniel Agne , David Juang and Kelsee Halpin ORCID logo
Published/Copyright: May 30, 2024

Abstract

Objectives

Pheochromocytomas (PHEO) are neuroendocrine tumors rarely diagnosed in children. We are reporting on the management challenges of three adolescent patients who present with hereditary PHEO.

Case presentation

The index patient and his male sibling presented with bilateral PHEO, while a third patient presented with a unilateral PHEO, all associated with von Hippel–Lindau (VHL) syndrome. The patients were treated with computed tomography (CT)-guided percutaneous cryoablation (CRA) of the adrenal lesions, with varying degrees of success.

Conclusions

CT-guided percutaneous CRA of hereditary PHEO has not been reported in the pediatric population and may represent a novel treatment strategy that reduces the risk of intraprocedural complications and adrenal insufficiency (AI).


Corresponding author: Emily Griffing, MD, Division of Pediatric Endocrinology and Diabetes, Children’s Mercy Hospital, Kansas City, MO, USA, E-mail:

  1. Research ethics: Not applicable.

  2. Informed consent: Informed consent was obtained from all individuals included in this study, or their legal guardians or wards.

  3. Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: The authors state no conflict of interest.

  5. Research funding: None declared.

  6. Data availability: Not applicable.

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Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jpem-2024-0033).


Received: 2024-01-17
Accepted: 2024-05-11
Published Online: 2024-05-30
Published in Print: 2024-07-26

© 2024 Walter de Gruyter GmbH, Berlin/Boston

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