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KMID : 0931320120120030202
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대한상부위장관.헬리코박터학회지
2012 Volume.12 No. 3 p.202 ~ p.206
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A Case of Left Adrenal Gland Metastatic Cancer Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration
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Oh Jae-Young
Kim Eui-Jung
Song Jeong-Eun
Kim Byung-Ho
Hwang Hyun-Sik
Jung Jin-Tae
Kwon Joong-Goo
Kim Eun-Young
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Abstract
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With widespread use of imaging techniques, the discovery of adrenal incidentalomas is increasing recently. Benign tumors are more frequent than malignant tumors in adrenal incidentalomas. Among malignant adrenal incidentalomas, metastatic neoplasms are the most common etiology. Traditional techniques to obtain tissue of adrenal gland include percutaneous approach under computed tomography or abdominal ultrasound guidance as well as open or laparoscopic adrenalectomies. They are invasive and associated with considerable complications such as pneumothorax, pancreatitis, adrenal abscesses, bacteremia, needle-tract metastases, and hemorrhage. Currently, endo scopic ultrasound-guided fine needle aspiration (EUS-FNA) is increasingly used to obtain tissue for diagnosis if the lesion is located in close proximity to the gut lumen. Compared with the traditional percutaneous techniques of tissue acquisition, EUS-FNA has many advantages including less invasiveness and lower complication rate. Here, we report a case of metastatic non-small cell carcinoma of left adrenal gland diagnosed by EUS-FNA with a review of literature.
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KEYWORD
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Endoscopic ultrasonography, Biopsy, Fine-needle, Left adrenal gland, Carcinoma, Non-small-cell lung
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