Narrow gauge needle aspiration of solid adrenal masses

CT-guided adrenal biopsy: accuracy, safety, and indications

“…The biopsy technique has been described [3,4]. This technique left adrenal masses were approached posteriorly ( fig.…”

The Weiss system for evaluating adrenocortical neoplasms: 25 years later

“…The primary indication for adrenal FNA is for diagnostic evaluation of suspected metastatic disease in patients with a history of extra adrenal malignancy presenting with a nonfunctional adrenal mass that exhibits equivocal imaging characteristics [1,39,40]. In this context, aspiration cytology is quite effective, with reported sensitivity rates generally exceeding 80% and specificity rates approaching 100% for the detection of malignancy [41][42][43][44][45][46][47][48]. Other accepted indications for FNA of the adrenal gland include evaluation of suspected infectious processes or lymphoma involving the adrenal because a positive diagnosis in these settings would have important therapeutic implications [39].…”

Percutaneous Biopsy for Adrenal Tumors Using Ultrasonically Guided Puncture.

“…The complication could be avoidable if a transhepatic approach was used in biopsies of right adrenal tumors (Bernardino et al 1985). Although hemorrhage has been noted in some adrenal biopsies, it is not a significant complication (Heaston et al 1982;Bernardino et al 1985). There was no statistical correlation noted between the biopsy route and hemorrhage, or between needle size and change in hematocrit (Bernardino et al 1985).…”