Adrenocortical Carcinoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration |
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| Authors: | Hiromune Katsuda Shomei Ryozawa Yuki Tanisaka Akashi Fujita Tomoya Ogawa Masahiro Suzuki Yoichi Saito Mei Hamada Masanori Yasuda Koshiro Nishimoto Masafumi Mizuide |
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| Institution: | 1.Department of Gastroenterology, Saitama Medical University International Medical Center, Japan; 2.Department of Pathology, Saitama Medical University International Medical Center, Japan; 3.Department of Uro-Oncology, Saitama Medical University International Medical Center, Japan |
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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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| Keywords: | adrenocortical carcinoma EUS-FNA |
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