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.
Share Button
New comment
Comments
No comments for this article
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.
Related articles

Letter

Duodenal lymphangiomas: endoscopic ultrasound features

DOI: 10.17235/reed.2024.10338/2024

Digestive Diseases Image

Imaging of pancreatic desmoid fibromatosis by endoscopic ultrasound

DOI: 10.17235/reed.2023.9792/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Letter

Angiosarcoma of the aorta diagnosed via endoscopic ultrasound

DOI: 10.17235/reed.2022.8879/2022

Digestive Diseases Image

Pancreatic lymphoma during pregnancy

DOI: 10.17235/reed.2022.8811/2022

Digestive Diseases Image

When needles are not enough, forceps delivers!

DOI: 10.17235/reed.2022.8697/2022

Letter

Lumen-apposing metal stent deployment failure

DOI: 10.17235/reed.2020.7060/2020

Letter

Sometimes things are what they seem

DOI: 10.17235/reed.2019.5911/2018

Letter

A giant abdominal collection: when things are not what they seem

DOI: 10.17235/reed.2018.5642/2018

Letter to the Editor

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess

DOI: 10.17235/reed.2018.5411/2017

Letter to the Editor

EUS-guided ethanol ablation therapy for gastric stromal tumors

DOI: 10.17235/reed.2017.5361/2017

Letter to the Editor

A rectal neuroendocrine neoplasm

DOI: 10.17235/reed.2017.4836/2017

Letter to the Editor

Pancreatic neuroendocrine tumors

DOI: 10.17235/reed.2017.4725/2016

Review

Endoscopic ampullectomy: a technical review

DOI: 10.17235/reed.2016.3867/2015

Case Report

Pelvic inflammatory myofibroblastic tumor mimicking a rectal cancer

DOI: 10.17235/reed.2015.3777/2015

Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1132 visits.
This article has been downloaded 118 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology