Résumé
Introduction
Si la ponction-aspiration sous échoendoscopie de la surrénale gauche est une méthode sûre et rentable, seulement deux études ont été publiées sur la faisabilité de la ponction-aspiration sous échoendoscopie de la surrénale droite.
Observation
Un patient de 45 ans a subi une ponction- aspiration sous contrôle échoendoscopique, par voie transduodénale, d’une volumineuse lésion de la surrénale droite. Il présentait un cancer endocrine peu différencié du poumon; lors de la surveillance, le TDM a trouvé une lésion de 40 mm de la surrénale droite. La ponction sous échoendoscopie a montré qu’il s’agissait d’une métastase de son cancer pulmonaire, ce diagnostic a été confirmé par une résection chirurgicale.
Conclusion
La ponction-aspiration sous échoendoscopie par voie transduodénale de la surrénale droite semble possible et sûre.
Abstract
Introduction
Although transgastric endoscopic ultrasound (EUS) guided biopsy is a safe and accurate method for sampling of the left adrenal gland, only two reports describing EUS-guided fine-needle aspiration (FNA) of the right adrenal gland have been published to date.
Observation
A 45-year-old patient with a large right adrenal mass underwent transduodenal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). He had a history of metastatic lung endocrine carcinoma (low differentiated) and was found to have a 40-mm right adrenal mass during follow-up computed tomography. Endoscopic ultrasound-guided FNA showed a metastatic lung endocrine carcinoma, which was confirmed by surgical histopathologic examination. No complications were encountered during the procedure.
Conlusion
Transduodenal EUS-guided FNA of the right adrenal gland is feasible and safe.
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Laquière, A., Castellani, P., Adhoute, X. et al. Ponction de la surrénale droite sous échoendoscopie : mythe ou réalité ?. Acta Endosc 40, 447–449 (2010). https://doi.org/10.1007/s10190-010-0085-0
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DOI: https://doi.org/10.1007/s10190-010-0085-0
Mots clés
- Ponction-aspiration sous échoendoscopie
- Glande surrénale droite
- Métastase du cancer pulmonaire
- Métastase surrénale droite