• Internal medicine · Dec 2021

    Case Reports

    A Case of Adrenocortical Carcinoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration.

    • Hiromune Katsuda, Shomei Ryozawa, Yuki Tanisaka, Akashi Fujita, Tomoya Ogawa, Masahiro Suzuki, Yoichi Saito, Mei Hamada, Masanori Yasuda, Koshiro Nishimoto, and Masafumi Mizuide.
    • Department of Gastroenterology, Saitama Medical University International Medical Center, Japan.
    • Intern. Med. 2021 Dec 15; 60 (24): 3889-3896.

    AbstractAdrenocortical carcinoma (ACC) is a rare malignancy with a very poor prognosis. A 77-year-old man underwent imaging studies due to poorly controlled hypertension, which revealed a mass measuring 43 mm in diameter near the left adrenal gland. There were no findings indicative of pheochromocytoma. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed for the preoperative pathological evaluation, and the findings indicated a possibility of ACC. Based on these results, curative surgery was performed. If the diagnosis of pheochromocytoma is excluded, then EUS-FNA for adrenal lesions is relatively safe. It can also be used for the preoperative diagnosis of ACC.

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