Needle biopsy of the adrenal gland: retrospective review of 54 cases

Diagnostic Cytopathology
D Dusenbery, A Dekker

Abstract

A retrospective review of 54 cases of adrenal gland needle biopsy in 53 patients is presented. The cases included 43 fine-needle aspirations (FNA), six core-needle biopsies, and five cases in which both types of needle biopsy were done. Clinical or histologic follow-up was available in 28 of the 36 specimens deemed adequate for evaluation. Metastatic malignancies represented the largest group of cases (19), with lung being the most common primary site (8). The series included four cases of metastatic hepatocellular carcinoma. Probable adrenocortical adenoma was the next most common diagnosis (12 cases). Cases causing diagnostic confusion included a case of metastatic well-differentiated hepatocellular carcinoma which was initially confused with an adrenocortical adenoma and a probable adrenocortical adenoma which was mistaken for a metastatic small round cell malignancy. (This case is unproved because of lack of clinical or histologic follow-up). By evaluating only those cases with histologic confirmation or clinical follow-up greater than one year, the sensitivity of needle biopsy for the presence of malignancy was 95% and the specificity was 100%. The cytologic findings are described with attention to the potential problem of...Continue Reading

References

Feb 1, 1991·American Journal of Clinical Pathology·M B CohenA C Stoloff
Sep 1, 1991·Acta Radiologica·T TikkakoskiM Apaja-Sarkkinen
Oct 1, 1988·Seminars in Roentgenology·R M KoenkerE vanSonnenberg
Jan 1, 1985·AJR. American Journal of Roentgenology·M E BernardinoB C Erwin
Jun 1, 1983·Annals of Internal Medicine·P M Copeland
Jun 1, 1982·AJR. American Journal of Roentgenology·D K HeastonM Korobkin
Oct 1, 1981·Urology·J ZornozaM A Cohen
May 20, 1993·Nihon Naibunpi Gakkai zasshi·T SarutaH Shibata
Apr 1, 1993·The British Journal of Surgery·H Gajraj, A E Young

❮ Previous
Next ❯

Citations

Jul 19, 2011·Current Opinion in Neurobiology·Shawn R Lockery
May 16, 2009·Human Pathology·Sean K Lau, Lawrence M Weiss
Oct 3, 2000·Cytopathology : Official Journal of the British Society for Clinical Cytology·A S FassinaU Fedeli
Jun 10, 2005·Diagnostic Cytopathology·Edward B StelowRicardo H Bardales
Jul 29, 1999·Diagnostic Cytopathology·P de AgustínA Pérez-Barrios

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.

Adrenocortical Carcinoma

Hepatocellular carcinoma is the most common type of primary liver cancer and frequently occurs in individuals with chronic liver diseases like cirrhosis. Here is the latest research.