Author/Editor		Kocijančič, Igor
Title		Sonographically guided fine-needle aspiration biopsies of adrenal masses in lung cancer patients, eleven-year experience
Translated title		Ultrazvočno usmerjanje tankoigelne aspiracijske biopsije nadledvičnih mas pri bolnikih s pljučnim rakom, enajst let izkušenj
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 38, št. 3
Publication year		2004
Volume		str. 177-80
Language		eng
Abstract		Purpose. The aim of this retrospective study was to define the accuracy and safety of the ultrasonographically (US) guided fine-needle aspiration biopsy (FNAB) of the enlarged adrenals in the patients with lung cancer. Patients and methods. In eleven-year period 64 patients with cytologically proven lung cancer underwent USguided FNABs of adrenal masses. The accuracy of the method was assessed on the basis of cytology findings and the safety on the number of complications reported after the procedure. Results. US-guided aspiration biopsy turned out to be accurate in 58/64 cases (91%), and very safe with only 4/64 (6%) minor complications. In 52/58 (90%) cases, the cytology sample was found to be malignant. In 6 cases (10%), isolated adrenal masses were adenomas. Conclnsions. We recommend US guided FNAB as a safe and reliable diagnostic method that has many advantages over computer tomography (CT) guided FNAB, such as safety, patient friendliness, no X-rays and its reproducibility.
Summary		Izhodišča. Namen retrospektivne raziskave je ugotoviti zanesljivost in varnost ultrazvočno usmerjene tankoigelne biopsije povečanih nadledvičnic pri bolnikih s pljučnim rakom. Bolniki in metode. V enajstih letih smo naredili tankoigelno biopsijo nadledvičnih mas pri 64 bolnikih s citološko dokazanim pljučnim rakom. Zanesljivost metode smo ocenjevali na osnovi citoloških izvidov, varnost pa na osnovi zabeleženih zapletov po posegu. Rezultati. Ultrazvočno usmerjene tankoigelne aspiracijske biopsije so se pokazale kot zanesljive v 58/64 primerov (91%), in zelo varne s samo 4/64 (6%) manj šimi zapleti. V 52/58 (90%) primerov je bil citološki vzorec maligen. V 6 primerih (10%) je nadledvična masa predstavljala adenom. Zaključki. Ultrazvočno usmerjeno tankoigelno aspiracijsko biopsijo priporočamo kot varno in zanesljivo metodo. V primerjavi z računalniško tomografsko vodeno tankoigelno aspiracijsko biopsijo ima kar nekaj prednosti - je varnejša, ponovljiva, prijaznejša bolniku in brez ionizirajočega sevanja.
Descriptors		LUNG NEOPLASMS ADRENAL GLAND NEOPLASMS BIOPSY, NEEDLE NEOPLASM METASTASIS