Year 2020 / Volume 112 / Number 11
Original
Endoscopic ultrasound-guided fine-needle aspiration of renal lesions: experience in a tertiary center

838-842

DOI: 10.17235/reed.2020.6865/2020

Sergio Bazaga, Javier Tejedor-Tejada, Mario Gallardo Ramírez, Francisco Javier García-Alonso, Diego González, Beatriz Madrigal, Ana Carbajo, Marina de Benito, Manuel Perez-Miranda, Carlos de la Serna Higuera,

Abstract
Introduction: endoscopic ultrasound (EUS) allows the histological diagnosis of radiologically undetermined renal lesions, although few series have been described. Objectives: to describe the procedure, yield and complications of EUS-guided renal fine-needle aspiration (FNA). Material and methods: a retrospective case series in a prospective database was used that consecutively included EUS procedures from March 2014 to August 2018. Data on complications, outcome and follow-up were collected. A successful FNA was defined as any FNA that allowed a histological diagnosis. Lesions were considered as malignant when surgically confirmed as such (the histological diagnosis was used for non-surgical patients) and benign when radiographically stable for ≥ 12 months. Results: eight patients were identified with a median age of 61.6 years (57.3-71.9), and five (62.5 %) were female. Five FNA procedures involved the right kidney and three involved the left kidney. 22G cytology needles were used. Renal FNA was diagnostic in all cases, with no complications. Conclusions: EUS-guided FNA may represent an effective, safe procedure for the diagnosis of renal lesions of an uncertain origin.
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References
1. Lopes RI, Moura RN, Artifon E. Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of kidney lesions: A review. World J Gastrointest Endosc. 2015 Mar 16;7(3):253.
2. Moura RN, Lopes RI, et al. Ultrasound-guided fine needle aspiration of renal masses : indications , applications and limitations. Arq Gastroenterol. 2014 Oct-Dec;51(4):337-40.
3. Farrell JJ, Brugge WR. EUS-guided fine-needle aspiration of a renal mass: an alternative method for diagnosis of malignancy. Gastrointest Endosc. 2002 Sep;56(3):450–2.
4. Schmidbauer J, Remzi M, Memarsadeghi M, Haitel A, Klingler HC, Katzenbeisser D, et al. Diagnostic Accuracy of Computed Tomography-Guided Percutaneous Biopsy of Renal Masses. Eur Urol. 2008 May ;53(5):1003–12.
5. Martinez M, Leblanc J, Al-haddad M, Sherman S, Dewitt J, Martinez M, et al. Role of endoscopic ultrasound fine-needle aspiration evaluating; World J Nephrol. Aug 6, 2014; 3(3): 92-100
6. DeWitt J, Gress FG, Levy MJ, Hernandez L V., Eloubeidi MA, Mishra G, et al. EUS-guided FNA aspiration of kidney masses: a multicenter U.S. experience. Gastrointest Endosc. 2009 Sep;70(3):573–8.
7. Patel HD, Johnson MH, Pierorazio PM, Sozio SM, Sharma R, Iyoha E, et al. Diagnostic Accuracy and Risks of Biopsy in the Diagnosis of a Renal Mass Suspicious for Localized Renal Cell Carcinoma: Systematic Review of the Literature. J Urol. 2016 May;195(5):1340–7.
8. Park SY, Park BK, Kim CK, Kwon GY. Ultrasound-guided core biopsy of small renal masses: Diagnostic rate and limitations. J Vasc Interv Radiol. 2013 Jan;24(1):90–6.
9. Doi S, Yasuda I, Iwashita T, Ibuka T, Fukushima H, Araki H, et al. Needle tract implantation on the esophageal wall after EUS-guided FNA of metastatic mediastinal lymphadenopathy. Gastrointest Endosc. 2008 May;67(6):988–90.
10. Law R, Wobker S, Grimm IS, Baron TH. Endoscopic ultrasonography-guided fine needle aspiration of kidney masses. Gastroenterology. 2015 Jun 1;148(7):1282–3.
11. Patel HD, Johnson MH, Pierorazio PM, Sozio SM, Sharma R, Iyoha E, et al. Diagnostic accuracy and risks of biopsy in the diagnosis of a renal mass suspicious for localized renal cell carcinoma: Systematic review of the literature. J Urol. 2016 May 1;195(5):1340–7.
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Bazaga S, Tejedor-Tejada J, Gallardo Ramírez M, García-Alonso F, González D, Madrigal B, et all. Endoscopic ultrasound-guided fine-needle aspiration of renal lesions: experience in a tertiary center. 6865/2020


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Publication history

Received: 08/01/2020

Accepted: 08/03/2020

Online First: 15/10/2020

Published: 10/11/2020

Article revision time: 51 days

Article Online First time: 281 days

Article editing time: 307 days


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