1.Bilateral Adrenal Histoplasmosis: Endoscopic Ultrasound – guided Fine Needle Aspiration as a Method of Diagnosis and Assessment
J Khairul Azhar ; H S G Jacqueline ; L K H Tony ; B H Tan ; J M Steven
The Medical Journal of Malaysia 2011;66(5):504-506
We report a case of a healthy 78 -year- old indonesian man
who presented with chronic weight loss, poor appetite and
lethargy. CT abdomen showed bilateral adrenal masses.
EUS – guided FNA was performed on the left adrenal gland.
Histopathology report was Histoplasma Capsulatum. He
recovered well with antifungal treatment without any
complication. In this case, we found that the role of EUS –
guided FNA was not only limited to diagnosis but also
helped in the prognosis of the disease since the method
was able to assess the general anatomy of the adrenal gland
better than other imaging modalities due to its close
proximity and direct visualization.
2.Bilateral adrenal histoplasmosis: endoscopic ultrasound-guided fine needle aspiration as a method of diagnosis and assessment.
Azhar, J Khairul ; Jacqueline, H S G ; Tony, L K H ; Tan, B H ; Steven, J M
The Medical Journal of Malaysia 2011;66(5):504-6
We report a case of a healthy 78-year-old indonesian man who presented with chronic weight loss, poor appetite and lethargy. CT abdomen showed bilateral adrenal masses. EUS-guided FNA was performed on the left adrenal gland. Histopathology report was Histoplasma Capsulatum. He recovered well with antifungal treatment without any complication. In this case, we found that the role of EUS -guided FNA was not only limited to diagnosis but also helped in the prognosis of the disease since the method was able to assess the general anatomy of the adrenal gland better than other imaging modalities due to its close proximity and direct visualization.