Adrenocortical Carcinoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration

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. End...

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Bibliographic Details
Published in:Internal Medicine 2021/12/15, Vol.60(24), pp.3889-3896
Main Authors: Katsuda, Hiromune, Ryozawa, Shomei, Tanisaka, Yuki, Fujita, Akashi, Ogawa, Tomoya, Suzuki, Masahiro, Saito, Yoichi, Hamada, Mei, Yasuda, Masanori, Nishimoto, Koshiro, Mizuide, Masafumi
Format: Article
Language:English
Subjects:
Adrenal Cortex Neoplasms - diagnostic imaging
Adrenal Cortex Neoplasms - surgery
Adrenal Gland Neoplasms - diagnostic imaging
Adrenal glands
adrenocortical carcinoma
Adrenocortical Carcinoma - diagnostic imaging
Aged
Case Report
Diagnosis
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Endoscopy
EUS-FNA
Humans
Internal medicine
Male
Malignancy
Pancreatic Neoplasms
Pheochromocytoma
Ultrasonic imaging
Ultrasound
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Summary: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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.7555-21