期刊
ADVANCES IN ANATOMIC PATHOLOGY
卷 29, 期 6, 页码 373-379出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PAP.0000000000000356
关键词
adrenal gland; metastatic carcinoma; fine needle aspiration cytology
类别
Fine needle aspiration cytology plays an important role in distinguishing primary and metastatic adrenal neoplasms, but there is variability. Immunohistochemistry can aid in the diagnosis of adrenal neoplasms.
Adrenal gland lesions are present in 1% to 5% of patients and are most commonly identified incidentally on abdominal imaging. Fine needle aspiration (FNA) cytology plays an important role in the initial workup of adrenal gland nodules, especially in patients with a known history of malignancy. The most common reason for adrenal gland FNA is to differentiate benign adrenal lesions, such as adrenal cortical adenoma, from metastatic malignancy. However, there is a significant cytomorphologic overlap between primary and metastatic adrenal neoplasms. This review focuses on the current state of adrenal gland FNA cytology, with an emphasis on distinguishing adrenocortical adenoma from carcinoma and adrenal cortical neoplasms from metastatic malignancies. The role of immunohistochemistry in specifically diagnosing adrenal neoplasms is discussed. Proposed diagnostic classification systems for adrenal gland FNA cytology are also described.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据