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Korean J Gastrointest Endosc > Volume 40(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(2): 97-101.
진단 및 치료 목적으로 선형 내시경초음파 유도하 세침흡인술을 시행한 부신낭종 2예
김형훈ㆍ이정환ㆍ이상렬ㆍ이수연ㆍ박영일ㆍ류수형ㆍ김유선ㆍ문정섭
인제대학교 의과대학 서울백병원 내과학교실
Two Cases of Adrenal Cysts Assessed by Endoscopic Ultrasound-Guided Fine Needle Aspiration for Diagnostic and Therapeutic Purposes
Hyung Hun Kim, M.D., Jung Hwan Lee, M.D., Sang Ryul Lee, M.D., Su-Yeon Lee, M.D., Young Il Park, M.D., Soo Hyung Ryu, M.D., You Sun Kim, M.D. and Jeong Seop Moon, M.D.
Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
Abstract
Adrenal cyst is a rare disease and its incidence rate is about 0.06∼0.18%. Many cases of adrenal cysts are diagnosed incidentally. Surgical excision is generally performed to rule out malignancy when an adrenal cyst is detected. However, a reviewing the overall cases revealed that only 7% of adrenal cysts were malignant or potentially malignant. Thus, it has been suggested to observe an asymptomatic simple benign cyst after aspiration. From this point of view, it is necessary to perform a functional hormonal test and fine needle aspiration cytology for investigating the nature of adrenal cysts. Adrenal cyst drainage can be performed when surgical resection is not indicated. Computed tomography or ultrasonography guided percutaneous aspiration and drainage has been performed, but linear endoscopic ultrasound has not yet been used for this purpose. We have performed endoscopic ultrasound guided fine needle aspiration of adrenal cysts for cytologic and hormonal examination and endoscopic ultrasound guided adrenal cyst drainage, and we report here on our experiences with this technique. (Korean J Gastrointest Endosc 2010;40:97-101)
Key Words: Adrenal cyst, EUS, Fine needle aspiration, Cytology
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