EUS-FNA of the left adrenal gland is safe and useful
Annals of the Academy of Medicine, Singapore
; : 954-957, 2007.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-348361
Responsible library:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>There are limited data on the use of endosonography-guided fine-needle aspiration (EUS-FNA) to determine the nature of left adrenal lesions. We described our experience in performing EUS-FNA of left adrenal lesions.</p><p><b>CLINICAL PICTURE</b>During a 20-week period, data on consecutive patients who underwent EUS with or without EUS-FNA were prospectively captured. Patients with a left adrenal mass and who underwent EUS-FNA formed our study population.</p><p><b>TREATMENT</b>EUS-FNA.</p><p><b>OUTCOME</b>A total of 119 consecutive patients underwent diagnostic EUS +/- FNA, during which the left adrenal gland was routinely examined. Twelve of these patients underwent EUS as part of lung cancer staging and among these 12 lung cancer patients, 2 had left adrenal masses detected by computed tomography (CT). EUS detected left adrenal nodules in 2 other patients which were not visualised by CT. The overall prevalence of a left adrenal mass was 3.4%; in the subgroup with confirmed lung cancer, the prevalence was 33.3%. All 4 patients were male, with a mean age of 76.3 years (range, 67 to 87). The mean size of the left adrenal lesion was 30.4 mm (range, 9 to 84.8). EUS-FNA of the left adrenal lesions was performed under Doppler guidance. The mean number of needle passes was 2 (range, 1 to 4). A cellular aspirate was obtained in all patients. No procedural complications occurred. Metastatic non-small cell lung cancer was diagnosed in 2 patients, including a lesion missed on CT. For the other 2 cases, EUS-FNA revealed benign adrenal cells.</p><p><b>CONCLUSIONS</b>EUS-FNA appears safe and useful for the evaluation of left adrenal masses.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Singapore
/
Diagnostic Imaging
/
Prospective Studies
/
Adrenal Gland Neoplasms
/
Endosonography
/
Biopsy, Fine-Needle
/
Methods
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Risk factors
Limits:
Aged
/
Aged, 80 and over
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2007
Document type:
Article