Incidentaloma other diagnostic studies: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 19: | Line 19: | ||
* [[Needle aspiration biopsy|FNA]] biopsy is not useful in the routine evaluation of incidentalomas in patients suspected to have small non-adrenal cancers.<ref name="pmid26956774">{{cite journal| author=Kumar R, Dey P| title=Fine-needle aspiration cytology of non-neoplastic adrenal pathology. | journal=Diagn Cytopathol | year= 2016 | volume= 44 | issue= 6 | pages= 472-6 | pmid=26956774 | doi=10.1002/dc.23467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26956774 }}</ref> | * [[Needle aspiration biopsy|FNA]] biopsy is not useful in the routine evaluation of incidentalomas in patients suspected to have small non-adrenal cancers.<ref name="pmid26956774">{{cite journal| author=Kumar R, Dey P| title=Fine-needle aspiration cytology of non-neoplastic adrenal pathology. | journal=Diagn Cytopathol | year= 2016 | volume= 44 | issue= 6 | pages= 472-6 | pmid=26956774 | doi=10.1002/dc.23467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26956774 }}</ref> | ||
* The complications of | * The complications of [[FNAC]] include:<ref name="pmid12574782">{{cite journal| author=Arellano RS, Harisinghani MG, Gervais DA, Hahn PF, Mueller PR| title=Image-guided percutaneous biopsy of the adrenal gland: review of indications, technique, and complications. | journal=Curr Probl Diagn Radiol | year= 2003 | volume= 32 | issue= 1 | pages= 3-10 | pmid=12574782 | doi=10.1067/cdr.2003.120002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12574782 }}</ref> | ||
** Adrenal and [[liver]] [[hematoma]] | |||
** [[Abdominal pain|Abdominal pain]] | |||
** [[Hematuria|Hematuria]] | |||
**[[Pancreatitis]] | |||
** [[Pneumothorax]] | |||
** [[Adrenal gland|Adrenal]] [[abscess]] | |||
** Tumor recurrence along the needle track | |||
==References== | ==References== | ||
Revision as of 18:15, 16 October 2017
|
Incidentaloma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Incidentaloma other diagnostic studies On the Web |
|
American Roentgen Ray Society Images of Incidentaloma other diagnostic studies |
|
Risk calculators and risk factors for Incidentaloma other diagnostic studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
- Fine-needle aspiration biopsy may be helpful in the diagnosis of incidentaloma. It can distinguish between an adrenal tumor and a metastatic tumor. In a patient with a known primary malignancy, performing a diagnostic CT-guided FNA biopsy may be indicated. The FNA biopsy of a pheochromocytoma may result in hemorrhage and hypertensive crisis. So, excluding pheochromocytoma with biochemical testing is necessary before any procedure.
Other Diagnostic Studies
- Fine-needle aspiration biopsy may be helpful in the diagnosis of incidentaloma. Findings diagnostic of incidentaloma include:
- It can distinguish between an adrenal tumor and a metastatic tumor.[1]
- In a patient with a known primary malignancy, performing a diagnostic CT-guided FNA biopsy may be indicated.
- The FNA biopsy of a pheochromocytoma may result in hemorrhage and hypertensive crisis. So, excluding pheochromocytoma with biochemical testing is necessary before any procedure.[2]
- Adrenal biopsy would not be needed if the patient was already known to have a widespread metastatic disease.[3]
- Cytology from a specimen obtained by fine-needle aspiration (FNA) biopsy cannot distinguish a benign adrenal mass from the less common adrenal carcinoma.
- FNA biopsy is not useful in the routine evaluation of incidentalomas in patients suspected to have small non-adrenal cancers.[4]
- The complications of FNAC include:[5]
- Adrenal and liver hematoma
- Abdominal pain
- Hematuria
- Pancreatitis
- Pneumothorax
- Adrenal abscess
- Tumor recurrence along the needle track
References
- ↑ Mazzaglia PJ, Monchik JM (2009). "Limited value of adrenal biopsy in the evaluation of adrenal neoplasm: a decade of experience". Arch Surg. 144 (5): 465–70. doi:10.1001/archsurg.2009.59. PMID 19451490.
- ↑ Vanderveen KA, Thompson SM, Callstrom MR, Young WF, Grant CS, Farley DR; et al. (2009). "Biopsy of pheochromocytomas and paragangliomas: potential for disaster". Surgery. 146 (6): 1158–66. doi:10.1016/j.surg.2009.09.013. PMID 19958944.
- ↑ Jhala NC, Jhala D, Eloubeidi MA, Chhieng DC, Crowe DR, Roberson J; et al. (2004). "Endoscopic ultrasound-guided fine-needle aspiration biopsy of the adrenal glands: analysis of 24 patients". Cancer. 102 (5): 308–14. doi:10.1002/cncr.20498. PMID 15376200.
- ↑ Kumar R, Dey P (2016). "Fine-needle aspiration cytology of non-neoplastic adrenal pathology". Diagn Cytopathol. 44 (6): 472–6. doi:10.1002/dc.23467. PMID 26956774.
- ↑ Arellano RS, Harisinghani MG, Gervais DA, Hahn PF, Mueller PR (2003). "Image-guided percutaneous biopsy of the adrenal gland: review of indications, technique, and complications". Curr Probl Diagn Radiol. 32 (1): 3–10. doi:10.1067/cdr.2003.120002. PMID 12574782.