Azhar J Khairul, Jacqueline H S G, Tony L K H, Tan B H, Steven J M
Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Med J Malaysia. 2011 Dec;66(5):504-6.
We report a case of a healthy 78-year-old indonesian man who presented with chronic weight loss, poor appetite and lethargy. CT abdomen showed bilateral adrenal masses. EUS-guided FNA was performed on the left adrenal gland. Histopathology report was Histoplasma Capsulatum. He recovered well with antifungal treatment without any complication. In this case, we found that the role of EUS -guided FNA was not only limited to diagnosis but also helped in the prognosis of the disease since the method was able to assess the general anatomy of the adrenal gland better than other imaging modalities due to its close proximity and direct visualization.
我们报告一例78岁健康印度尼西亚男性病例，该患者出现慢性体重减轻、食欲减退和乏力。腹部CT显示双侧肾上腺肿块。对左侧肾上腺进行了超声内镜引导下细针穿刺活检。组织病理学报告为荚膜组织胞浆菌。经抗真菌治疗后他恢复良好，无任何并发症。在该病例中，我们发现超声内镜引导下细针穿刺活检的作用不仅限于诊断，还有助于疾病的预后评估，因为该方法由于其近距离和直接可视化，比其他成像方式能更好地评估肾上腺的整体解剖结构。
