Alıcı İbrahim Onur, Aydoğdu Zekiye
Department of Pulmonary Medicine, Dr. Suat Seren Training and Research Hospital for Pulmonary Diseases and Thoracic Surgery, İzmir, Turkey.
Department of Pathology, Dr. Suat Seren Training and Research Hospital for Pulmonary Diseases and Thoracic Surgery, İzmir, Turkey.
Turk Thorac J. 2020 May;21(3):209-212. doi: 10.5152/TurkThoracJ.2019.190109.
The left adrenal gland (LAG) is a common metastatic site in patients with non-small-cell lung cancer. In practice, staging mainly relies on radiologic studies and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). Recently, a new technique using convex probe-endobronchial ultrasound (CP-EBUS) scope through the esophagus (EUS-B) has been introduced. A complete mediastinal staging and a reach for upper-abdominal structures in a single session naturally attract attention. However, scientific data are not sufficient to clearly judge the role of this technique in the cytological diagnosis of left adrenal lesions. Therefore, we present cases in which our patients have undergone EUS-B for LAG lesions to increase the data in the literature with regard to accessibility, diagnostic performance, and rate of complications.
左肾上腺（LAG）是非小细胞肺癌患者常见的转移部位。在实际操作中，分期主要依靠影像学检查和超声内镜引导下细针穿刺活检（EUS-FNA）。最近，一种通过食管使用凸阵探头支气管内超声（CP-EBUS）内镜的新技术（EUS-B）已被引入。在一次操作中完成完整的纵隔分期并探及上腹部结构自然引起了人们的关注。然而，科学数据不足以明确判断该技术在左肾上腺病变细胞学诊断中的作用。因此，我们呈现了一些患者接受EUS-B检查左肾上腺病变的病例，以增加文献中关于可及性、诊断性能和并发症发生率的数据。
