Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass
Traditionally, tissue biopsies of kidney lesions are usually performed with CT or percutaneous ultrasound guidance, but biopsies using EUS have rarely been reported. In this report, we describe a case of renal cell carcinoma (RCC) diagnosed using EUS-guided fine-needle aspiration biopsy. A 75-year-o...
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Korean College of Helicobacter and Upper Gastrointestinal Research
2021-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://www.helicojournal.org/upload/pdf/kjhugr-2020-0058.pdf |
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| author | Jaehyun Ha Daejin Kim Hyunsoo Kim Chang Keun Park Jaekwon Jung Yun Jin Chung Jaekwang Lee Hanjun Ryu |
| author_facet | Jaehyun Ha Daejin Kim Hyunsoo Kim Chang Keun Park Jaekwon Jung Yun Jin Chung Jaekwang Lee Hanjun Ryu |
| author_sort | Jaehyun Ha |
| collection | DOAJ |
| description | Traditionally, tissue biopsies of kidney lesions are usually performed with CT or percutaneous ultrasound guidance, but biopsies using EUS have rarely been reported. In this report, we describe a case of renal cell carcinoma (RCC) diagnosed using EUS-guided fine-needle aspiration biopsy. A 75-year-old woman taking aspirin due to stable angina continued to exhibit weight loss and anemia and visited the gastroenterology department. No bleeding was observed on upper and lower gastrointestinal endoscopy. A contrast-enhanced mass was observed in the left kidney, accompanied by 8.9×10.8 cm-sized necrosis suggesting RCC on abdominal CT. Chest CT showed masses in both lungs. We planned to administer targeted therapy after pathological confirmation using EUS. Aspirin was continued, and we performed fine-needle biopsy using a 22-gauge needle three times. No adverse events were observed after the procedure. Pathological examination confirmed RCC, clear cell type, and the patient is currently undergoing treatment with sunitinib. EUS-guided fine-needle aspiration biopsy is safe for liver, pancreatic, or other tumors accessible from the upper gastrointestinal tract. This technique shows fewer adverse events. To the best of our knowledge, there have been no other reports on EUS-guided fine-needle aspiration biopsy to identify RCC in Korea. |
| format | Article |
| id | doaj-art-d865d352ea3d4234a30d6c413308859d |
| institution | DOAJ |
| issn | 1738-3331 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-d865d352ea3d4234a30d6c413308859d2025-08-20T03:18:11ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312021-03-01211939510.7704/kjhugr.2020.0058665Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal MassJaehyun Ha0Daejin Kim1Hyunsoo Kim2Chang Keun Park3Jaekwon Jung4Yun Jin Chung5Jaekwang Lee6Hanjun Ryu7Department of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaDepartment of Gastroenterology and Hepatology, Daegu Fatima Hospital, Daegu, KoreaTraditionally, tissue biopsies of kidney lesions are usually performed with CT or percutaneous ultrasound guidance, but biopsies using EUS have rarely been reported. In this report, we describe a case of renal cell carcinoma (RCC) diagnosed using EUS-guided fine-needle aspiration biopsy. A 75-year-old woman taking aspirin due to stable angina continued to exhibit weight loss and anemia and visited the gastroenterology department. No bleeding was observed on upper and lower gastrointestinal endoscopy. A contrast-enhanced mass was observed in the left kidney, accompanied by 8.9×10.8 cm-sized necrosis suggesting RCC on abdominal CT. Chest CT showed masses in both lungs. We planned to administer targeted therapy after pathological confirmation using EUS. Aspirin was continued, and we performed fine-needle biopsy using a 22-gauge needle three times. No adverse events were observed after the procedure. Pathological examination confirmed RCC, clear cell type, and the patient is currently undergoing treatment with sunitinib. EUS-guided fine-needle aspiration biopsy is safe for liver, pancreatic, or other tumors accessible from the upper gastrointestinal tract. This technique shows fewer adverse events. To the best of our knowledge, there have been no other reports on EUS-guided fine-needle aspiration biopsy to identify RCC in Korea.http://www.helicojournal.org/upload/pdf/kjhugr-2020-0058.pdfaspirincarcinoma, renal cellendoscopic ultrasound-guided fine-needle biopsy |
| spellingShingle | Jaehyun Ha Daejin Kim Hyunsoo Kim Chang Keun Park Jaekwon Jung Yun Jin Chung Jaekwang Lee Hanjun Ryu Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass The Korean Journal of Helicobacter and Upper Gastrointestinal Research aspirin carcinoma, renal cell endoscopic ultrasound-guided fine-needle biopsy |
| title | Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass |
| title_full | Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass |
| title_fullStr | Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass |
| title_full_unstemmed | Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass |
| title_short | Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy of a Renal Mass |
| title_sort | endoscopic ultrasound guided fine needle aspiration biopsy of a renal mass |
| topic | aspirin carcinoma, renal cell endoscopic ultrasound-guided fine-needle biopsy |
| url | http://www.helicojournal.org/upload/pdf/kjhugr-2020-0058.pdf |
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