[CT-guided course-punch biopsy of the adrenals. The indications, technic and results].
Adrenal lesions exceeding 1.5 cm diameter were biopsied with a Tru-Cut needle (G 14) under CT guidance for histologic evaluation in 61 patients. Using CT for guidance, special techniques for safe access to the adrenals are described. Large-bore biopsy yielded a sensitivity of 100% and a specificity of 97.4%. Diagnostic accuracy was 98.3%. No significant complications occurred. In comparison to the results of FNA reported in the literature, large-bore biopsy of adrenal lesions improves the rate of adequate material and the histopathologic differentiation without increase of complications.
Klose
K C
KC
Klinik für Radiologische Diagnostik, RWTH Aachen.
Böcking
A
A
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D000311:Adrenal Glands / Q000000981:diagnostic imaging* / Q000473:pathology; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*
CT-gesteuerte Grobstanzbiopsie der Nebennieren. Indikationen, Technik und Ergebnisse.