12 KB96 KB11 KB199220252004Kocijančič, Igorštevilka:3letnik:384 stranistr. 177-180ISSN:1318-2099COBISSID:19018713URN:URN:NBN:SI:doc-KJRWYM2WenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)Adrenal Gland NeoplasmsbiopsijaBiopsija igelnaBiopsy, NeedlediagnostikaLung NeoplasmsNadledvična žleza, novotvorbeNeoplasm MetastasisNovotvorba, metastazanovotvorbeonkologijaPathologypljučne bolezniPljučne novotvorbeSecondarytumorUltrasonographyultrasoundultrazvokSonographically guided fine-needle aspiration biopsies of adrenal masses in lung cancer patients, eleven-year experience|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 andmethods. 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 ofcomplications reported after the procedure. Results. US-guided aspiration biopsy turned out to be accurate in 58/64 cases (91%), and very safe with only4/64 (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 reproducibilityIzhodišča. Namen retrospektivne raziskave je ugotoviti zanesljivost in varnostultrazvočno 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 sevanjaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije