title: Transesophageal endoscopic ultrasound/fine-needle aspiration diagnosis of a malignant adrenal gland in a patient with non-small cell lung cancer and a negative CT scan.
abstract: Adrenal metastasis is only seen on CT scan is less than 5% of patients with otherwise resectable NSCLS, but this diagnosis has a major impact on treatment and prognosis. We present a case of a patient with NSCLC and an adrenal metastasis, which was diagnosed by EUS/FNA of an enlarged adrenal gland, who had false-negative CT scan for adrenal metastasis. PET was not performed. Prospective studies are needed to assess the incremental yield of EUS/FNA over upper abdominal CT scan and PET for detecting left adrenal metastasis in patients with suspected or proven otherwise respectable NSCLC.
authors.affiliation: Hvidovre Hospital, University of Copenhagen, Krogebakkle 2B, 3140 Aalsgaarde, Germany. Ringbaek@dadlnet.dk
authors.forename: T J
authors.initials: TJ
authors.lastname: Ringbaek
authors.forename: M
authors.initials: M
authors.lastname: Krasnik
authors.forename: P
authors.initials: P
authors.lastname: Clementsen
authors.forename: B G
authors.initials: BG
authors.lastname: Skov
authors.forename: E N
authors.initials: EN
authors.lastname: Rasmussen
authors.forename: P
authors.initials: P
authors.lastname: Vilmann
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D000368:Aged; D001707:Biopsy, Needle; D002289:Carcinoma, Non-Small-Cell Lung / Q000175:diagnosis* / Q000556:secondary*; D004724:Endoscopy; D004947:Esophagus; D005188:False Negative Reactions; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D008297:Male; D014057:Tomography, X-Ray Computed