Diagnosis of lung adenocarcinoma with left adrenal metastasis via transesophageal endoscopic ultrasound‑guided fine‑needle aspiration biopsy: A case report

Liu,Meixuan; Zhang,Qian; Long,Haihu; Xu,Ming; Shou,Yi; Guo,Zhongliang

doi:10.3892/mco.2018.1648

Diagnosis of lung adenocarcinoma with left adrenal metastasis via transesophageal endoscopic ultrasound‑guided fine‑needle aspiration biopsy: A case report

Authors:
- Meixuan Liu
- Qian Zhang
- Haihu Long
- Ming Xu
- Yi Shou
- Zhongliang Guo
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Affiliations: Department of Respiratory Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, P.R. China, Department of Gastroenterology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, P.R. China, Department of Nuclear Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, P.R. China
Published online on: June 8, 2018 https://doi.org/10.3892/mco.2018.1648
Pages: 145-148
Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Lung cancer is generally diagnosed through traditional bronchoscopy by pulmonologists, whereas data on the application of transesophageal endoscopic ultrasound‑guided fine‑needle aspiration (EUS‑FNA) for lung cancer diagnosis in China are very rarely reported. We herein describe a case of a 62‑year‑old woman who presented with non‑productive cough and was found to have a pulmonary mass in the upper lobe of the right lung. The results of positron emission tomography revealed an elevated level of 18F‑fluorodeoxyglucose accumulation (maximum standardized uptake value of 13.6) in the left adrenal gland. Thus, EUS‑FNA was performed to identify the suspected metastasis to the left adrenal gland, and the histopathological examination of the bioptic specimen demonstrated an adenocarcinoma, confirming the value of EUS‑FNA as a first‑line minimally invasive approach for diagnosis and staging in patients with lung cancer.

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