ROLE OF ULTRASONIC INVESTIGATION IN DIAGNOSIS OF ADRENAL INCIDENTALOMAS

Abstract

Aim. To determine the capabilities of ultrasonic method of investigation in diagnosis and differentiation of adrenal neoplasms. Materials and methods. Protocols of ultrasonic investigations (US) of 89 patients with verified adrenal tumors treated at Yaroslavl Clinical Hospital over the period from 2002 to 2013 were analyzed. Patients’ age was 25–83 with a mean age of 56,50±11,45 including 62 women (70%) and 27 men (30%). 42 patients underwent aspiration cutting puncture biopsy (ACPB) under the US control. Results. Diagnostic and informative significance of ultrasonic method of investigation was indicated. The role of US as a method of visual control in case of puncture biopsy of adrenal incidentalomas was emphasized. Techniques raising the efficiency of adrenal neoplasm biopsy, taking into account the experience of more than 10 thousand interventions on the other organs under the US control were proposed, Conclusion. US is an operator-dependent method of diagnosis. Ultrasonic picture can be used to assume morphological structure of the revealed hormonally inactive adrenal tumors. The size of adrenal tumor can not be a criterion of its morphological structure. Sonography makes it possible to provide visual control of ACPB.

Keywords

US / adrenal gland / aspiration cutting puncture biopsy

References

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RIGHTS & PERMISSIONS

Dvornikov M.V.