Interventional radiology of the adrenal glands

Koenker, Ralph M.; Müeller, Peter R.; vanSonnenberg, Eric

doi:10.1016/s0037-198x(88)80041-5

Cited by 19 publications

(4 citation statements)

References 32 publications

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“…Generally, it is well agreed that a positive malignant biopsy result would confirm the diagnosis while negative results is not helpful in ruling out the disease [6,13,14] . Conversely, Harisinghani et al [4] evaluated the accuracy of a negative for tumor adrenal biopsy in an oncologic patient population by assessing subsequent clinical and radiological outcome and concluded that a negative or a benign pathology for CT-guided percutaneous adrenal biopsy can be regarded as true negative with no necessity to repeat the biopsy.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Adrenal Biopsy for Indeterminate Adrenal Lesion: Complications and Diagnostic Accuracy

et al. 2010

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Purpose: To critically analyze the role, accuracy and safety of percutaneous adrenal biopsy for indeterminate adrenal lesions. Materials and Methods: Adrenal biopsies were performed in 15 among 214 patients (7%) diagnosed with adrenal masses being indeterminate on preoperative imaging. Definitive histopathology was obtained in all and overall sensitivity and negative predictive value were calculated. Safety of the procedure was reported. Results: The study included 8 male and 7 female patients with a mean age of 33.3 ± 20.3 years (range 7–65). Biopsy was carried out under computed tomography and ultrasound guidance in 12 and 3 patients, respectively. There were 2 nonrepresentative biopsies that were proved to be adrenocortical carcinoma and myelolipoma after adrenalectomy. Results of biopsy in the remaining 13 patients provided accurate diagnosis as proved by definitive histopathology in all but 2 in whom the final diagnosis was established as adrenocortical carcinoma while biopsy was paraganglioma in one and cortical adenoma in the other. Overall sensitivity and negative predictive value of adrenal biopsy was 73.3 and 60%, respectively. Apart from two mild hypertensive episodes following silent pheochromocytoma biopsy, no complications were reported. Conclusions: Percutaneous biopsy is a safe procedure for the diagnosis of pathologic conditions of the adrenal gland with a reasonable diagnostic aid.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Adrenal Biopsy for Indeterminate Adrenal Lesion: Complications and Diagnostic Accuracy

et al. 2010

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“…All cytologic aspirates were obtained by a radiologist using 22-gauge needles under computed tomography guidance, as previously described. 14 After making several smears, approximately one third of the material was fixed in 95% alcohol for Papanicolaou staining. The remaining slides were air dried and stained by Diff-Quik.…”

Section: Methodsmentioning

confidence: 99%

Fine Needle Aspiration of Chromophobe Renal Cell Carcinoma

Salamanca

Alberti²,

López‐Ríos³

et al. 2007

Acta Cytologica

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“…Accurate needle placement is difficult with the angled approach, especially when the adrenal lesion is small and located in the left adrenal gland [21]. The triangulation method requires calculation of the angle of the needle and consultation of trigonometric tables to ensure accuracy of the biopsy needle placement.…”

Section: Discussionmentioning

confidence: 99%