Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of adrenal lesions

Patil, Rashmee; Ona, Mel A.; Papafragkakis, Charilaos; Duddempudi, Sushil; Anand, Sury; Jamil, Laith H.

doi:10.20524/aog.2016.0047

Cited by 24 publications

(34 citation statements)

References 35 publications

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“…As CT guided percutaneous adrenal FNAs became more routinely performed and authors published data pertaining to outcomes, calculations of sensitivity (89% and above) and specificity (93% and above) became available . While not common, complications of percutaneous adrenal FNA have been reported in the literature, including hemorrhage, infection, pneumothorax, pain persisting after biopsy, and pancreatitis, with such adverse events reported in 0%‐12% of the procedures . One should not FNA biopsy the adrenal glands of patients with possible pheochromocytoma without biochemical exclusion of an active catecholamine secreting neoplasm, as FNA may precipitate a catecholamine crisis in such patients.…”

Section: Discussionmentioning

confidence: 99%

Fine‐needle aspiration of adrenal lesions: A 20‐year single institution experience with comparison of percutaneous and endoscopic ultrasound guided approaches

Novotny

Reynolds

Shah

et al. 2019

Diagnostic Cytopathology

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Background Historically, sampling of adrenal lesions has been performed by percutaneous image‐guided fine‐needle aspiration (FNA) biopsy. Endoscopic ultrasound guided (EUS)‐FNA of the adrenals was first employed at Cleveland Clinic ~10 years ago. We report a two‐decade experience of adrenal FNA in our institution. Methods An electronic retrieval identified adrenal FNAs from 1997 to 2017. Data points from each case (diagnosis, method of FNA, age, sex, laterality, needle gauge, size of lesion, adequacy of sample, and histologic follow up) were analyzed. Results Our retrieval confirmed 198 adrenal FNAs performed over 20 years. Of these, 90% (179/198) were percutaneous, and the remaining 10% (19/198) were collected by EUS. Of the 179 CT guided FNAs, 93% (162/179) yielded an adequate specimen as compared with an adequacy rate of 89% (17/19) for EUS‐FNAs, with no significant difference in adequacy rates by collection method, P = .64 (Fisher's exact). Of all adrenal FNAs, 53% (105/198) confirmed metastases, 33% (65/198) showed adrenal cells or primary adrenal neoplasms (85% cortical cells, 14% cortical neoplasia, 1% pheochromocytoma), 8% were inadequate (15/198), 3% were atypical (7/198), and 2% were suspicious for malignancy (5/198). Conclusion FNA of the adrenal glands can be useful in the diagnosis and staging of metastatic neoplasms, as well as in distinguishing primary adrenal cortical from medullary neoplasms and characterizing hematolymphoid and mesenchymal neoplasms. Overall adequacy rates for adrenal cytology are high (92%) with no statistically significant difference between CT‐guided (93%) and EUS‐FNA adequacy (89%). The majority of our procedures confirmed metastases, sparing patients unnecessary surgery.

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Section: Discussionmentioning

confidence: 99%

Fine‐needle aspiration of adrenal lesions: A 20‐year single institution experience with comparison of percutaneous and endoscopic ultrasound guided approaches

Novotny

Reynolds

Shah

et al. 2019

Diagnostic Cytopathology

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“…The results of EUS-FNA from different locations are shown in ►Table 1. [29][30][31][32][33][34][35][36] The material obtained by EUS-guided FNA remains inadequate in some cases. Many studies have been performed on techniques to improve diagnostic accuracy.…”

Section: Selection Of Needlementioning

confidence: 99%

“…Lymph nodes [32] Thirty-two studies of mediastinal EUS-FNA; FNA improved the sensitivity of EUS from 84.7 to 88.0% and specificity improved from 84.6 to 96.4%.…”

Section: Selection Of Needlementioning

confidence: 99%

EUS-Guided FNA: Tips and Tricks

Bansal

Puri

2020

Journal of Digestive Endoscopy

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AbstractThe development of endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) technique has been proved to be a great armamentarium to gastroenterologists and other branches including surgery, oncology, hepatology, pulmonary medicine, and internal medicine. EUS-FNA is quite safe and allows tissue acquisition from difficult anatomical locations like retroperitoneum, pancreas, and mediastinum. The current review discusses basic techniques steps of EUS-FNA including tips and tricks. Also, false negative FNA and EUS-FNA in difficult locations are discussed. We also discussed about EUS-guided fine needle biopsy.

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“…The celiac trunk and left kidney serve as guide structures. Fine needle aspiration can be safely performed under EUS guidance [14].…”

Section: Notementioning

confidence: 99%

Endobronchial Ultrasound (EBUS) – Update 2017

Darwiche¹,

Özkan²,

Wolters³

et al. 2018

Ultraschall in Med

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Endobronchial ultrasound (EBUS) has revolutionized the diagnosis of lung cancer over the last decade. This minimally invasive diagnostic method has also become increasingly important in the case of other diseases such as sarcoidosis, thereby helping to avoid unnecessary diagnostic interventions. This review article provides an update regarding EBUS and discusses current and future developments of this method.

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Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of adrenal lesions

Cited by 24 publications

References 35 publications

Fine‐needle aspiration of adrenal lesions: A 20‐year single institution experience with comparison of percutaneous and endoscopic ultrasound guided approaches

Fine‐needle aspiration of adrenal lesions: A 20‐year single institution experience with comparison of percutaneous and endoscopic ultrasound guided approaches

EUS-Guided FNA: Tips and Tricks

Endobronchial Ultrasound (EBUS) – Update 2017

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