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Suraj Bhagat 1 Article
Endoscopic Ultrasound-Guided Fine-Needle Aspiration of the Adrenal Glands: Analysis of 21 Patients
Rajesh Puri, Ragesh Babu Thandassery, Narendra S. Choudhary, Hardik Kotecha, Smruti Ranjan Misra, Suraj Bhagat, Manish Paliwal, Kaushal Madan, Neeraj Saraf, Haimanti Sarin, Mridula Guleria, Randhir Sud
Clin Endosc 2015;48(2):165-170.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.165
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) cytology of adrenal masses helps in etiological diagnosis. The aim of this study was to evaluate the diagnostic yield of EUS-FNA of adrenal masses in cases where other imaging methods failed and/or were not feasible.

Methods

Twenty-one consecutive patients with adrenal masses, in whom adrenal FNA was performed because conventional imaging modalities failed and/or were not feasible, were prospectively evaluated over a period of 3 years.

Results

Of the 21 patients (mean age, 56±12.2 years; male:female ratio, 2:1), 12 had pyrexia of unknown origin and the other nine underwent evaluation for metastasis. The median lesion size was 2.4×1.6 cm. Ten patients were diagnosed with tuberculosis (shown by the presence of caseating granulomas [n=10] and acid-fast bacilli [n=4]). Two patients had EUS-FNA results suggestive of histoplasmosis. The other patients had metastatic lung carcinoma (n=6), hepatocellular carcinoma (n=1), and adrenal lipoma (n=1) and adrenal myelolipoma (n=1). EUS results were not suggestive of any particular etiology. No procedure-related adverse events occurred.

Conclusions

EUS-FNA is a safe and effective method for evaluating adrenal masses, and it yields diagnosis in cases where tissue diagnosis is impossible or has failed using conventional imaging modalities.

Citations

Citations to this article as recorded by  
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    Journal of the American Society of Cytopathology.2021; 10(2): 168.     CrossRef
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    Diagnostic Cytopathology.2020; 48(11): 1003.     CrossRef
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    Diagnostic Cytopathology.2020; 48(11): 1058.     CrossRef
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    Aaron G. Novotny, Jordan P. Reynolds, Akeesha A. Shah, Amit Bhatt, Prabhleen Chahal, Erick M. Remer, Tyler Stevens, Stephen Gmitro, Charles D. Sturgis
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    Catherine D. Zhang, Danae A. Delivanis, Patrick W. Eiken, Thomas D. Atwell, Irina Bancos
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    Rinkesh K. Bansal, Narendra S. Choudhary, Saurabh K. Patle, Amit Agarwal, Gagandeep Kaur, Haimanti Sarin, Rajesh Puri
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  • First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma
    Shaunak R. Mulani, Patrick Stoner, Alexander Schlachterman, Hans K. Ghayee, Li Lu, Anand Gupte
    Case Reports in Gastrointestinal Medicine.2018; 2018: 1.     CrossRef
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    Alfred King-yin Lam
    Endocrine-Related Cancer.2017; 24(3): R65.     CrossRef
  • A Twenty-First-Century Perspective of Disseminated Histoplasmosis in India: Literature Review and Retrospective Analysis of Published and Unpublished Cases at a Tertiary Care Hospital in North India
    Ayush Gupta, Arnab Ghosh, Gagandeep Singh, Immaculata Xess
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  • DIAGNOSIS OF ENDOCRINE DISEASE: The diagnostic performance of adrenal biopsy: a systematic review and meta-analysis
    Irina Bancos, Shrikant Tamhane, Muhammad Shah, Danae A Delivanis, Fares Alahdab, Wiebke Arlt, Martin Fassnacht, M Hassan Murad
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    Martin Fassnacht, Wiebke Arlt, Irina Bancos, Henning Dralle, John Newell-Price, Anju Sahdev, Antoine Tabarin, Massimo Terzolo, Stylianos Tsagarakis, Olaf M Dekkers
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    Sumit Bhatia, Rajesh Puri
    International Journal of Gastrointestinal Intervention.2016; 5(3): 187.     CrossRef
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    Tae Hyeon Kim
    Clinical Endoscopy.2015; 48(2): 94.     CrossRef
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