RICHARD L. EDDY, M.D., F.A.C.P.; JAMES F. MCMURRY JR., M.D.; EDWARD B. BEST, M.D.; BILLY W. HENDERSON, M.D.; V. TAYLOR SMITH, M.D.
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To the editor: When adrenalectomy is indicated for palliation of certain malignancies and for some patients with adrenocortical hyperfunction because of their poor surgical risk, a less threatening nonsurgical approach would be desirable. We report the successful ablation of adrenal function by instillation of a sclerosing substance through an angiographic catheter. The patient had Cushing's syndrome, caused by ectopic production of adrenocorticotrophin (ACTH) in metastatic carcinoma of the prostate.
A 58-year-old man with stable diabetes mellitus of 10 years' duration and prostatic carcinoma (treated with orchiectomy and diethylstilbestrol) was admitted to the Endocrine Study Unit on 24 July 1972, with
EDDY RL, MCMURRY JF, BEST EB, HENDERSON BW, SMITH VT. Adrenal Ablation by Venous Catheter. Ann Intern Med. 1973;79:273–274. doi: 10.7326/0003-4819-79-2-273
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Published: Ann Intern Med. 1973;79(2):273-274.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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