The computed tomography‐guided adrenal biopsy: An alternative to surgery in adrenal mass diagnosis

A series of 16 patients with adrenal masses were biopsied percutaneously under computed tomography (CT) guidance with 18‐ to 22‐gauge modified Chiba needles. Adrenal adenomas, cysts, metastases, melanoma, and adrenal hemorrhage were identified. Of nine oncologic patients, four had adrenal metastases...

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Bibliographic Details
Published in:Cancer 1984-05, Vol.53 (10), p.2098-2103
Main Authors: Berkman, William A., Bernardino, Michael E., Sewell, Charles W., Price, R. Barton, Sones, Peter J.
Format: Article
Language:English
Subjects:
Adenoma - diagnostic imaging
Adenoma - pathology
Adenoma - secondary
Adrenal Gland Neoplasms - diagnostic imaging
Adrenal Gland Neoplasms - pathology
Adrenal Gland Neoplasms - secondary
Adrenal Glands - diagnostic imaging
Adrenal Glands - pathology
Adult
Aged
Biopsy - methods
Diagnosis, Differential
Diagnostic Errors
Female
Humans
Hyperplasia
Male
Melanoma - diagnostic imaging
Melanoma - pathology
Melanoma - secondary
Middle Aged
Tomography, X-Ray Computed
Citations: Items that this one cites
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Summary:A series of 16 patients with adrenal masses were biopsied percutaneously under computed tomography (CT) guidance with 18‐ to 22‐gauge modified Chiba needles. Adrenal adenomas, cysts, metastases, melanoma, and adrenal hemorrhage were identified. Of nine oncologic patients, four had adrenal metastases, while five had other nonmalignant adrenal masses. Thus, an adrenal mass in an oncologic patient is not always metastases. No complications occurred. The diagnostic evaluation of an adrenal mass in selected cases should include CT‐guided percutaneous aspiration as a safe and reliable alternative to open surgical biopsy. CT‐guided biopsy can be performed as an outpatient procedure, avoiding the cost of hospitalization and the morbidity of surgery.
ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(19840515)53:10<2098::AID-CNCR2820531018>3.0.CO;2-0