超声引导下经皮肾上腺肿瘤穿刺活检

Percutaneous biopsy for adrenal tumors using ultrasonically guided puncture.

作者信息

Kojima M, Saitoh M, Itoh H, Ukimura O, Ohe H, Watanabe H

机构信息

Department of Urology, Kyoto Prefectural University of Medicine.

出版信息

Tohoku J Exp Med. 1994 Apr;172(4):333-43. doi: 10.1620/tjem.172.333.

DOI:10.1620/tjem.172.333

PMID:7940524

Abstract

Percutaneous biopsy for adrenal tumors was performed on 12 patients using ultrasonically guided puncture. Of the 12 tumors, 11 were detected incidentally by ultrasonography or computed tomography. In 11 cases, cytological or pathological diagnosis was obtained without any complication. Among these, surgical operation was carried out in 4 cases, in which biopsy findings were confirmed by the examination of the surgical specimens. The other 7 cases were being followed up without surgery. The rate of correct discrimination between benign and malignant adrenal tumors by biopsy was 91% (10/11 cases) in this series. It is accordingly considered that adrenal biopsy is the choice to confirm the diagnosis of nonfunctioning adrenal tumors because of its efficacy and ease of use.

摘要

对12例肾上腺肿瘤患者采用超声引导穿刺进行经皮活检。在这12个肿瘤中，11个是通过超声检查或计算机断层扫描偶然发现的。11例中，获得了细胞学或病理诊断，无任何并发症。其中4例进行了手术，手术标本检查证实了活检结果。另外7例未手术，正在随访中。本系列中，活检对肾上腺良恶性肿瘤的正确鉴别率为91%（10/11例）。因此，由于肾上腺活检的有效性和易用性，它被认为是确诊无功能肾上腺肿瘤的选择。