Esophageal adenocarcinoma metastasis in the left adrenal gland diagnosed by endoscopic ultrasound-guided fine needle aspiration
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چکیده
EUS confirmed the presence of enlarged regional lymph nodes [Figure 5] and also revealed a hypoechoic heterogeneous nodule in the left adrenal gland with hyperechoic central area, measuring about 12 mm × 13 mm and with well‐defined limits. EUS‐guided fine needle aspiration (EUS-FNA) of the left adrenal gland was performed [Figure 6] with a 22-gauge EchoTip® Needle (Cook Medical Inc., Limerick, Ireland). The cell block histology and immunohistochemistry (CDX2 and CD20 positive) confirmed the diagnosis of esophageal adenocarcinoma metastasis [Figure 7]. Therefore, EUS staging was concluded as T3N3M1-Stage IV and the patient was forwarded for adjuvant therapy.[1]
منابع مشابه
Adrenal metastasis of hepatocellular carcinoma diagnosed by endoscopic ultrasound-guided fine-needle aspiration of the right adrenal gland.
Recent studies have shown that the adrenal gland is the fourth most common site of HCC extrahepatic metastasis; despite this, the incidence of right adrenal metastasis of HCC is unclear. EUS-guided FNA of the right adrenal gland is technically possible and safe, and should be considered in cases of right adrenal tumors with no diagnostic criteria by imaging test.
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