Piccirilli Angela, Romantini Federico, Saldutto Pietro, Maselli Guevar, Paradiso Giuseppe, Vicentini Carlo
Ospedale Civile di Teramo G. Mazzini, piazza Italia 1, 67100, Teramo, Italy.
Urol Case Rep. 2020 Apr 9;31:101203. doi: 10.1016/j.eucr.2020.101203. eCollection 2020 Jul.
The importance of histologic characterization of renal masses is increasing in the management of small renal tumors and metastatic settings of renal cell carcinoma (RCC). Tissue sampling of renal lesions is generally achieved through a percutaneous approach yet endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with cytological analysis could be more suitable in selected circumstances. We report a case of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) of an anterior, mesorenal right kidney mass with a thrombus extending into the right atrium, unreachable via a percutaneous approach.
肾肿块的组织学特征在小肾肿瘤的管理及肾细胞癌（RCC）转移情况中愈发重要。肾病变的组织采样通常通过经皮途径完成，然而在特定情况下，内镜超声引导下细针穿刺抽吸（EUS-FNA）及细胞学分析可能更适用。我们报告一例经内镜超声引导下对右肾前内侧肿块进行细针活检（EUS-FNB）的病例，该肿块伴有延伸至右心房的血栓，经皮途径无法触及。
