Adrenal biopsy: performance and use. Minerva Endocrinol 2019 Sep;44(3):288-300
Date
02/09/2019Pubmed ID
30732427DOI
10.23736/S0391-1977.19.02969-9Scopus ID
2-s2.0-85069870123 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
The widespread use of cross-sectioning abdominal imaging in recent years has led to the increased detection of adrenal masses. In each case, determining whether a newly identified adrenal mass is benign or malignant is essential for management, but can be challenging. A significant proportion of adrenal lesions remain indeterminate after initial evaluation due to limitations of current imaging modalities. Adrenal biopsy can be considered for further diagnostic workup in select cases, particularly in patients with an active or previously diagnosed extra-adrenal malignancy. In this review, we describe the various types of image-guided adrenal biopsy, including percutaneous and endoscopic techniques, highlight the utility of adrenal biopsy in various clinical scenarios, and, examine the diagnostic performance and adverse event rate of the procedure. Finally, we outline a suggested algorithm for the use of adrenal biopsy in the evaluation of an adrenal mass.
Author List
Zhang CD, Delivanis DA, Eiken PW, Atwell TD, Bancos IAuthor
Catherine Zhang MD Assistant Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Adrenal Gland NeoplasmsAdrenal Glands
Humans
Image-Guided Biopsy
Sensitivity and Specificity
Ultrasonography, Interventional
