Fine-needle puncture under endoscopic ultrasonography in the bulk formations of the adrenal glands

Fine needle puncture under the control of endoscopic ultrasonography is a high-tech method of morphological verification of the diagnosis. This article is devoted to the review and analysis of the possibilities of fine needle puncture under the control of endosonography in the morphological verification of pathologically altered adrenal glands. The aim of the study was to explore the possibilities of fine-needle puncture under the control of the endoscopic ultrasonography in the morphological verification of space-occupying lesions of the adrenal gland. Materials and methods: the study included 59 patients who underwent endoscopic ultrasonography in the period from 2007 to 2018, 39 of them underwent fine needle puncture for morphological verification of the diagnosis. Results: to solve the tasks - morphological verification of the diagnosis in 39 patients 45 fine - needle punctures were performed, 34 (75.6%) of them were performed once, in 4 (8.8%) cases it was performed twice, in 1 (2.2%) - three times. Of the 44 performed fine-needle punctures in 4 (9.1%), its results were uninformative. The informativeness of EUS-TYPE for morphological verification was 90.9%. Complications of various kinds were not recorded Conclusion: thus, endoscopic ultrasonography in our study has demonstrated itself as a high-precision method of examination of patients, allowing to visually identify and confirm tumor changes in the adrenal glands. Taking into account the resolution of this method and the proximity of the adrenal gland to the echoendoscope sensor, performing a fine-needle puncture is the best way to obtain material for morphological verification of the diagnosis. The combination of the advantages of the method in the possibility of visualization and the minimum distance to the object of fine-needle puncture allow us to recommend this method as the main if necessary morphological verification of changes in the adrenal glands.

эндоскопическая ультрасонография, тонкоигольная пункция результативность, морфологическая верификация, надпочечник, endoscopic ultrasonography, fine needle puncture efficiency, morphological verification, adrenal gland