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.
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.
Ringbaek
T J
TJ
Hvidovre Hospital, University of Copenhagen, Krogebakkle 2B, 3140 Aalsgaarde, Germany. Ringbaek@dadlnet.dk
Krasnik
M
M
Clementsen
P
P
Skov
B G
BG
Rasmussen
E N
EN
Vilmann
P
P
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