内镜超声引导下细针穿刺抽吸术在肾上腺病变诊断中的应用
Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of adrenal lesions.
作者信息
Patil Rashmee, Ona Mel A, Papafragkakis Charilaos, Duddempudi Sushil, Anand Sury, Jamil Laith H
机构信息
Department of Internal Medicine, Mount Sinai Health Systems, New York (Rashmee Patil).
Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York (Mel A. Ona, Sushil Duddempudi, Sury Anand).
出版信息
Ann Gastroenterol. 2016 Jul-Sep;29(3):307-11. doi: 10.20524/aog.2016.0047. Epub 2016 May 20.
Abstract
The use of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) appears to be a safe and feasible means of confirming or excluding malignancy in the adrenal glands. EUS-FNA with biopsy of suspicious masses in either adrenal gland allows for assessment of these lesions while keeping complications relatively rare. The main advantages of EUS-FNA are that it can be done as an outpatient procedure, with good results, minimal morbidity, and a short hospital stay. Nevertheless, EUS-FNA of adrenal masses should be indicated only in selected cases, in which there is potential to either decrease unnecessary treatment or guide therapy in cancer patients by aiding in either staging of malignancy or treatment of recurrence.v.
摘要
内镜超声引导下细针穿刺抽吸术（EUS-FNA）似乎是一种安全可行的方法，用于确认或排除肾上腺的恶性肿瘤。对任一肾上腺的可疑肿块进行EUS-FNA并活检，可在使并发症相对少见的同时对这些病变进行评估。EUS-FNA的主要优点是它可以作为门诊手术进行，效果良好，发病率低，住院时间短。然而，肾上腺肿块的EUS-FNA仅应在特定病例中进行，即有可能通过协助恶性肿瘤分期或治疗复发来减少不必要的治疗或指导癌症患者的治疗。
相似文献
1
Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of adrenal lesions.内镜超声引导下细针穿刺抽吸术在肾上腺病变诊断中的应用
Ann Gastroenterol. 2016 Jul-Sep;29(3):307-11. doi: 10.20524/aog.2016.0047. Epub 2016 May 20.
2
Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of kidney lesions: A review.内镜超声引导下细针穿刺活检在肾脏病变诊断中的应用：综述
World J Gastrointest Endosc. 2015 Mar 16;7(3):253-7. doi: 10.4253/wjge.v7.i3.253.
3
Endoscopic ultrasound-guided fine-needle aspiration biopsy of the adrenal glands: analysis of 24 patients.内镜超声引导下肾上腺细针穿刺活检：24例患者分析
Cancer. 2004 Oct 25;102(5):308-14. doi: 10.1002/cncr.20498.
4
Endoscopic ultrasound-guided fine-needle aspiration of right adrenal masses: report of 2 cases.内镜超声引导下右肾上腺肿块细针穿刺活检：2例报告
J Ultrasound Med. 2008 Feb;27(2):261-7. doi: 10.7863/jum.2008.27.2.261.
5
Sampling of the adrenal glands by endoscopic ultrasound-guided fine-needle aspiration.经内镜超声引导下细针穿刺对肾上腺进行采样。
Diagn Cytopathol. 2005 Jul;33(1):26-30. doi: 10.1002/dc.20273.
6
Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) in insulinomas: Indications and clinical relevance in a single investigator cohort of 47 patients.内镜超声引导下细针穿刺活检（EUS-FNA）在胰岛素瘤中的应用：47例单中心研究队列的适应证及临床意义
Endocrine. 2017 Apr;56(1):158-163. doi: 10.1007/s12020-016-1179-z. Epub 2016 Nov 30.
7
Fine-needle aspiration of adrenal lesions: A 20-year single institution experience with comparison of percutaneous and endoscopic ultrasound guided approaches.肾上腺病变的细针穿刺活检：一项单机构20年经验的经皮与内镜超声引导方法比较研究
Diagn Cytopathol. 2019 Oct;47(10):986-992. doi: 10.1002/dc.24261. Epub 2019 Jun 21.
8
Role of endoscopic ultrasound-guided fine-needle aspiration in lung and mediastinal lesions.内镜超声引导下细针抽吸术在肺部和纵隔病变中的作用。
J Chin Med Assoc. 2010 Oct;73(10):523-9. doi: 10.1016/S1726-4901(10)70114-3.
9
Transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) biopsy: a combined approach in the evaluation of mediastinal lesions.经食管内镜超声引导下细针穿刺活检（EUS-FNA）和支气管内超声引导下经支气管针吸活检（EBUS-TBNA）：纵隔病变评估中的联合方法。
Endoscopy. 2005 Sep;37(9):833-9. doi: 10.1055/s-2005-870276.
10
Impact of inconclusive endoscopic ultrasound-guided fine-needle aspiration results in the management and outcome of patients with solid pancreatic masses.内镜超声引导下细针抽吸结果不确定对胰腺实性肿块患者治疗和结局的影响。
Dig Endosc. 2015 Jan;27(1):130-6. doi: 10.1111/den.12315. Epub 2014 Oct 30.
引用本文的文献
1
Cytological Assessment of Adrenal Tumours: Insights From 22-Years Single Centre Experience.肾上腺肿瘤的细胞学评估：来自22年单中心经验的见解
Clin Endocrinol (Oxf). 2025 Aug;103(2):157-166. doi: 10.1111/cen.15254. Epub 2025 Apr 23.
2
Individualized treatment guided by endoscopic ultrasound-guided fine-needle aspiration for adrenocortical oncocytoma: A case report.内镜超声引导下细针穿刺活检指导的肾上腺皮质嗜酸性细胞瘤个体化治疗：一例报告
World J Clin Oncol. 2025 Feb 24;16(2):98223. doi: 10.5306/wjco.v16.i2.98223.
3
Endoscopic ultrasound-guided tissue acquisition beyond the pancreas.内镜超声引导下胰腺以外组织的获取
Ann Gastroenterol. 2023 May-Jun;36(3):257-266. doi: 10.20524/aog.2023.0797. Epub 2023 Apr 8.
4
Transrectal endoscopic ultrasound-guided fine-needle aspiration biopsy for qualitative diagnosis of pelvic space-occupying lesions: a diagnostic test.经直肠内镜超声引导下细针穿刺活检用于盆腔占位性病变的定性诊断：一项诊断试验
Transl Cancer Res. 2022 Sep;11(9):3267-3276. doi: 10.21037/tcr-22-2057.
5
Unilateral adrenal tuberculosis whose computed tomography imaging characteristics mimic a malignant tumor: A case report.计算机断层扫描成像特征类似恶性肿瘤的单侧肾上腺结核：一例报告。
World J Clin Cases. 2022 Jun 16;10(17):5783-5788. doi: 10.12998/wjcc.v10.i17.5783.
6
Endoscopic Ultrasound-Guided Transgastric Puncture and Drainage of an Adrenal Abscess in an Immunosuppressed Patient.内镜超声引导下对一名免疫抑制患者肾上腺脓肿进行经胃穿刺引流术
Clin Endosc. 2022 Mar;55(2):302-304. doi: 10.5946/ce.2021.090. Epub 2021 Nov 16.
7
Adrenocortical Carcinoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration.经内镜超声引导下细针抽吸术诊断肾上腺皮质癌。
Intern Med. 2021 Dec 15;60(24):3889-3896. doi: 10.2169/internalmedicine.7555-21. Epub 2021 Jun 19.
8
EUS-guided tissue acquisition in the study of the adrenal glands: Results of a nationwide multicenter study.EUS 引导下的肾上腺组织获取研究：一项全国多中心研究的结果。
PLoS One. 2019 Jun 6;14(6):e0216658. doi: 10.1371/journal.pone.0216658. eCollection 2019.
9
Recent advancement in EUS-guided fine needle sampling.EUS 引导下细针取样的最新进展。
J Gastroenterol. 2019 May;54(5):377-387. doi: 10.1007/s00535-019-01552-2. Epub 2019 Feb 26.
10
First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma.首例经内镜超声引导下的粗针活检确诊原发性肾上腺平滑肌肉瘤病例报告
Case Rep Gastrointest Med. 2018 Oct 3;2018:8196051. doi: 10.1155/2018/8196051. eCollection 2018.
本文引用的文献
1
Endoscopic ultrasound-guided fine-needle aspiration of the adrenal glands: analysis of 21 patients.内镜超声引导下肾上腺细针穿刺活检：21例患者分析
Clin Endosc. 2015 Mar;48(2):165-70. doi: 10.5946/ce.2015.48.2.165. Epub 2015 Mar 27.
2
Role of endoscopic ultrasound fine-needle aspiration evaluating adrenal gland enlargement or mass.内镜超声细针穿刺在评估肾上腺增大或肿块中的作用。
World J Nephrol. 2014 Aug 6;3(3):92-100. doi: 10.5527/wjn.v3.i3.92.
3
Preoperative routine evaluation of bilateral adrenal glands by endoscopic ultrasound and fine-needle aspiration in patients with potentially resectable lung cancer.在可切除肺癌患者中，通过内镜超声和细针抽吸对双侧肾上腺进行术前常规评估。
Endoscopy. 2013;45(3):195-201. doi: 10.1055/s-0032-1325988. Epub 2013 Jan 8.
4
Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) of the right adrenal gland.内镜超声（EUS）引导下右肾上腺细针穿刺抽吸（FNA）
Endoscopy. 2012;44 Suppl 2 UCTN:E385-6. doi: 10.1055/s-0032-1310145. Epub 2012 Nov 8.
5
6
7
Diagnosis of bilateral adrenal metastases secondary to malignant melanoma by EUS-guided FNA.超声内镜引导下细针穿刺活检诊断恶性黑色素瘤继发双侧肾上腺转移瘤
Am J Gastroenterol. 2011 Oct;106(10):1862-3. doi: 10.1038/ajg.2011.176.
8
EUS-FNA for the detection of left adrenal metastasis in patients with lung cancer.超声内镜引导下细针穿刺活检术（EUS-FNA）用于检测肺癌患者左侧肾上腺转移。
Lung Cancer. 2011 Sep;73(3):310-5. doi: 10.1016/j.lungcan.2010.12.019. Epub 2011 Jan 31.
9
Image-guided adrenal and renal biopsy.影像引导下肾上腺及肾活检。
Tech Vasc Interv Radiol. 2010 Jun;13(2):100-9. doi: 10.1053/j.tvir.2010.02.005.
10
A large single-center experience of EUS-guided FNA of the left and right adrenal glands: diagnostic utility and impact on patient management.一项关于超声内镜引导下经左、右肾上腺细针抽吸活检的大型单中心经验：诊断效用及其对患者管理的影响。
Gastrointest Endosc. 2010 Apr;71(4):745-53. doi: 10.1016/j.gie.2009.10.022. Epub 2010 Feb 13.
Zotero 插件