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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.

DOI:10.20524/aog.2016.0047
PMID:27366030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4923815/
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。

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本文引用的文献

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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
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Bilateral adrenal histoplasmosis: endoscopic ultrasound-guided fine needle aspiration as a method of diagnosis and assessment.双侧肾上腺组织胞浆菌病:内镜超声引导下细针穿刺抽吸作为一种诊断和评估方法。
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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。
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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。
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