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

Intern Med. 2021 Jun 19. doi: 10.2169/internalmedicine.7555-21. Online ahead of print.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.PMID:34148966 | DOI:10.2169/internalmedicine.7555-21

Source: Internal Medicine - June 21, 2021 Category: Internal Medicine Authors: Hiromune Katsuda Shomei Ryozawa Yuki Tanisaka Akashi Fujita Tomoya Ogawa Masahiro Suzuki Yoichi Saito Mei Hamada Masanori Yasuda Koshiro Nishimoto Masafumi Mizuide Source Type: research