Berkman W A, Bernardino M E, Sewell C W, Price R B, Sones P J
Cancer. 1984 May 15;53(10):2098-103. doi: 10.1002/1097-0142(19840515)53:10<2098::aid-cncr2820531018>3.0.co;2-0.
A series of 16 patients with adrenal masses were biopsied percutaneously under computed tomography (CT) guidance with 18- to 22-gauge modified Chiba needles. Adrenal adenomas, cysts, metastases, melanoma, and adrenal hemorrhage were identified. Of nine oncologic patients, four had adrenal metastases, while five had other nonmalignant adrenal masses. Thus, an adrenal mass in an oncologic patient is not always metastases. No complications occurred. The diagnostic evaluation of an adrenal mass in selected cases should include CT-guided percutaneous aspiration as a safe and reliable alternative to open surgical biopsy. CT-guided biopsy can be performed as an outpatient procedure, avoiding the cost of hospitalization and the morbidity of surgery.
对16例肾上腺肿块患者在计算机断层扫描（CT）引导下，使用18至22号改良千叶针经皮进行活检。确定了肾上腺腺瘤、囊肿、转移瘤、黑色素瘤和肾上腺出血。在9例肿瘤患者中，4例有肾上腺转移，而5例有其他非恶性肾上腺肿块。因此，肿瘤患者的肾上腺肿块并不总是转移瘤。未发生并发症。在某些病例中，肾上腺肿块的诊断评估应包括CT引导下经皮穿刺抽吸，作为开放手术活检的一种安全可靠的替代方法。CT引导下活检可作为门诊手术进行，避免了住院费用和手术并发症。
