| A Case of Left Adrenal Gland Metastatic Cancer Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration |
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Jae Young Oh, Eui Jung Kim, Jung Eun Song, Byung Ho Kim, Hyun Sik Hwang, Jin Tae Jung, Joong Goo Kwon, Eun Young Kim |
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Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. kimey@cu.ac.kr |
| 좌측 부신 전이암을 내시경초음파로 진단한 1예 |
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오재영, 김의정, 송정은, 김병호, 황현식, 정진태, 권중구, 김은영 |
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대구가톨릭대학교 의과대학 내과학교실 |
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| Abstract |
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With widespread use of imaging techniques, the discovery of adrenal incidentalomas is increasing recently. Benign tumors are more frequent than malignant tumors in adrenal incidentalomas. Among malignant adrenal incidentalomas, metastatic neoplasms are the most common etiology. Traditional techniques to obtain tissue of adrenal gland include percutaneous approach under computed tomography or abdominal ultrasound guidance as well as open or laparoscopic adrenalectomies. They are invasive and associated with considerable complications such as pneumothorax, pancreatitis, adrenal abscesses, bacteremia, needle-tract metastases, and hemorrhage. Currently, endo scopic ultrasound-guided fine needle aspiration (EUS-FNA) is increasingly used to obtain tissue for diagnosis if the lesion is located in close proximity to the gut lumen. Compared with the traditional percutaneous techniques of tissue acquisition, EUS-FNA has many advantages including less invasiveness and lower complication rate. Here, we report a case of metastatic non-small cell carcinoma of left adrenal gland diagnosed by EUS-FNA with a review of literature. |
| Key Words:
Endoscopic ultrasonography; Biopsy, Fine-needle; Left adrenal gland; Carcinoma, Non-small-cell lung |
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