Katsuda H, Ryozawa S, Tanisaka Y, Fujita A, Ogawa T, Suzuki M, Saito Y, Hamada M, Yasuda M, Nishimoto K, Mizuide M. Adrenocortical Carcinoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration.
Intern Med 2021;
60:3889-3896. [PMID:
34148966 PMCID:
PMC8758440 DOI:
10.2169/internalmedicine.7555-21]
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Abstract
Adrenocortical carcinoma (ACC) is a rare malignancy with a very poor prognosis. A 77-year-old man underwent imaging studies due to poorly controlled hypertension, which revealed a mass measuring 43 mm in diameter near the left adrenal gland. There were no findings indicative of pheochromocytoma. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed for the preoperative pathological evaluation, and the findings indicated a possibility of ACC. Based on these results, curative surgery was performed. If the diagnosis of pheochromocytoma is excluded, then EUS-FNA for adrenal lesions is relatively safe. It can also be used for the preoperative diagnosis of ACC.
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