Ultraschall Med 2010; 31(3): 228-250
DOI: 10.1055/s-0029-1245449
Fort- und Weiterbildung/Continuing Medical Education

© Georg Thieme Verlag KG Stuttgart · New York

Sonografie und Endosonografie der Nebennieren

Ultrasound and Endoscopic Ultrasound of the Adrenal GlandsC. Jenssen1 , C. F. Dietrich2
  • 1Krankenhaus Märkisches Oberland GmbH, Innere Medizin
  • 2Caritas-Krankenhaus Bad Mergentheim, Innere Medizin 2
Further Information

Publication History

Publication Date:
01 June 2010 (online)

Lernziele

Verständnis der sonografischen Anatomie und Topografie der Nebennieren. Kenntnis der sonografischen und endosonografischen Untersuchungstechniken. Erlernen der sonomorphologischen Charakterisierung von Nebennierenraumforderungen. Integration von Sonografie und Endosonografie in die klinische Diagnostik bei Nebennierenerkrankungen. Einschätzung des Stellenwerts von kontrastverstärkter Sonografie und (endo-)sonografischer Biopsie von Nebennierenraumforderungen. Vergleichende Wertung der sonografischen im Vergleich zu radiologischen Methoden.

Literatur/References

  • 1 Dietrich C F, Wehrmann T, Hoffmann C et al. Detection of the adrenal glands by endoscopic or transabdominal ultrasound.  Endoscopy. 1997;  29 859-864
  • 2 Chang K J, Erickson R A, Nguyen P. Endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration of the left adrenal gland.  Gastrointest Endosc. 1996;  44 568-572
  • 3 Kann P, Hengstermann C, Heussel C P et al. Endosonografy of the adrenal glands: normal size – pathological findings.  Exp Clin Endocrinol Diabetes. 1998;  106 123-129
  • 4 Kann P, Bittinger F, Hengstermann C et al. Endosonografic imaging of the adrenal glands: a new method.  Ultraschall in Med. 1998;  19 4-9
  • 5 Dietrich C F. Endosonografie der Nebennieren. In Dietrich C F, Hg Endosonografie. Lehrbuch und Atlas des endoskopischen Ultraschalls.. Stuttgart, New York: Georg Thieme-Verlag; 2010: 370-379
  • 6 Dietrich C F. Nebenniere. In Dietrich C F, Hg Ultraschall-Kurs. Organbezogene Darstellung von Grund-, Aufbau- und Abschlusskurs.. Köln: Deutscher Ärzteverlag; 2006: 249-258
  • 7 Kangarloo H, Diament M J, Gold R H et al. Sonografy of adrenal glands in neonates and children: changes in appearance with age.  J Clin Ultrasound. 1986;  14 43-47
  • 8 Yeh H C. Sonografy of the adrenal glands: normal glands and small masses.  Am J Roentgenol. 1980;  135 1167-1177
  • 9 Eloubeidi M A, Seewald S, Tamhane A et al. EUS-guided FNA of the left adrenal gland in patients with thoracic or GI malignancies.  Gastrointest Endosc. 2004;  59 627-633
  • 10 DeWitt J, Alsatie M, LeBlanc J et al. Endoscopic ultrasound-guided fine-needle aspiration of left adrenal gland masses.  Endoscopy. 2007;  39 65-71
  • 11 Eloubeidi M A, Morgan D E, Cerfolio R J et al. Transduodenal EUS-guided FNA of the right adrenal gland.  Gastrointest Endosc. 2008;  67 522-527
  • 12 DeWitt J M. Endoscopic ultrasound-guided fine-needle aspiration of right adrenal masses: report of 2 cases.  J Ultrasound Med. 2008;  27 261-267
  • 13 Kann P H. Endoscopic ultrasound imaging of the adrenals.  Endoscopy. 2005;  37 244-253
  • 14 Strouse P J, Haller J O, Berdon W E et al. Horseshoe adrenal gland in association with asplenia: presentation of six new cases and review of the literature.  Pediatr Radiol. 2002;  32 778-782
  • 15 Kann P H, Meyer S, Zielke A et al. The new role for endoscopic ultrasound in endocrinology: imaging of the adrenals and the endocrine pancreas.  Dtsch Med Wochenschr. 2006;  131 567-572
  • 16 Roggenland D, Schneider S, Klein H H et al. Endosonografy – an additional diagnostic possibility in the differentiation between the two common types of primary hyperaldosteronism.  Med Klin. 2006;  101 65-68
  • 17 Waldmann J, Fendrich V, Habbe N et al. Screening of patients with multiple endocrine neoplasia type 1 (MEN-1): a critical analysis of its value.  World J Surg. 2009;  33 1208-1218
  • 18 Trojan J, Schwarz W, Sarrazin C et al. Role of ultrasonografy in the detection of small adrenal masses.  Ultraschall in Med. 2002;  23 96-100
  • 19 Suzuki Y, Sasagawa, Suzuki H et al. The role of ultrasonografy in the detection of adrenal masses: comparison with computed tomografy and magnetic resonance imaging.  Int Urol Nephrol. 2001;  32 303-306
  • 20 Boland G W, Blake M A, Hahn P F et al. Incidental adrenal lesions: principles, techniques, and algorithms for imaging characterization.  Radiology. 2008;  249 756-775
  • 21 Mayo-Smith W W, Boland G W, Noto R B et al. State-of-the-art adrenal imaging.  Radiografics. 2001;  21 995-1012
  • 22 Trojan J, Schwarz W, Zeuzem S et al. Cystic adrenal lymphangioma: incidental diagnosis on abdominal sonografy.  Am J Roentgenol. 2000;  174 1164-1165
  • 23 Kann P H, Wirkus B, Behr T et al. Endosonografic imaging of benign and malignant pheochromocytomas.  J Clin Endocrinol Metab. 2004;  89 1694-1697
  • 24 Schwerk W B, Gorg C, Gorg K et al. Adrenal pheochromocytomas: a broad spectrum of sonografic presentation.  J Ultrasound Med. 1994;  13 517-521
  • 25 Young W F. Clinical practice. The incidentally discovered adrenal mass.  N Engl J Med. 2007;  356 601-610
  • 26 Young Jr W F. Management approaches to adrenal incidentalomas. A view from Rochester, Minnesota.  Endocrinol Metab Clin North Am. 2000;  29 159-185, x
  • 27 Terzolo Jr M, Bovio S, Pia A et al. Management of adrenal incidentaloma.  Best Pract Res Clin Endocrinol Metab. 2009;  23 233-243
  • 28 Mantero F, Terzolo M, Arnaldi G et al. A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology.  J Clin Endocrinol Metab. 2000;  85 637-644
  • 29 Kasperlik-Zaluska A A, Otto M, Cichocki A et al. Incidentally discovered adrenal tumors: a lesson from observation of 1,444 patients.  Horm Metab Res. 2008;  40 338-341
  • 30 Kasperlik-Zaluska A A, Roslonowska E, Slowinska-Srzednicka J et al. 1,111 patients with adrenal incidentalomas observed at a single endocrinological center: incidence of chromaffin tumors.  Ann N Y Acad Sci. 2006;  1073 38-46
  • 31 Meyer S, Von Mach M A, Ivan D et al. Color-coded duplex endoscopic ultrasound of the adrenals.  J Endocrinol Invest. 2008;  31 882-887
  • 32 Dietrich C F, Ignee A, Barreiros A P et al. Contrast-enhanced ultrasound for imaging of adrenal masses.  Ultraschall in Med. 2010;  31 163-168
  • 33 Friedrich-Rust M, Schneider G, Bohle R M et al. Contrast-enhanced sonografy of adrenal masses: differentiation of adenomas and nonadenomatous lesions.  Am J Roentgenol. 2008;  191 1852-1860
  • 34 Mansmann G, Lau J, Balk E et al. The clinically inapparent adrenal mass: update in diagnosis and management.  Endocr Rev. 2004;  25 309-340
  • 35 Nurnberg D. Ultrasound of adrenal gland tumours and indications for fine needle biopsy (uFNB).  Ultraschall in Med. 2005;  26 458-469
  • 36 Welch T J, Sheedy P F, Stephens D H et al. Percutaneous adrenal biopsy: review of a 10-year experience.  Radiology. 1994;  193 341-344
  • 37 Silverman S G, Mueller P R, Pinkney L P et al. Predictive value of image-guided adrenal biopsy: analysis of results of 101 biopsies.  Radiology. 1993;  187 715-718
  • 38 Vanderveen K A, Thompson S M, Callstrom M R et al. Biopsy of pheochromocytomas and paragangliomas: potential for disaster.  Surgery. 2009;  146 1158-1166
  • 39 Jenssen C, Möller K, Sarbia M. et al .Endosonografische Biopsie (EUs-FNA, EUS-TCB) – Fallstricke, Probleme und Problemlösungen. In Dietrich C F, Hg Endosonografie. Lehrbuch und Atlas des endoskopischen Ultraschalls.. Stuttgart, New York: Georg Thieme-Verlag; 2008: 87-140
  • 40 Bodtger U, Vilmann P, Clementsen P et al. Clinical impact of endoscopic ultrasound-fine needle aspiration of left adrenal masses in established or suspected lung cancer.  J Thorac Oncol. 2009;  4 1485-1489
  • 41 Haseganu L E, Diehl D L. Left adrenal gland hemorrhage as a complication of EUS-FNA.  Gastrointest Endosc. 2009;  69 e51-e52
  • 42 Paulsen S D, Nghiem H V, Korobkin M et al. Changing role of imaging-guided percutaneous biopsy of adrenal masses: evaluation of 50 adrenal biopsies.  Am J Roentgenol. 2004;  182 1033-1037
  • 43 Song J H, Chaudhry F S, Mayo-Smith W W. The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy.  Am J Roentgenol. 2008;  190 1163-1168
  • 44 Grumbach M M, Biller B M, Braunstein G D et al. Management of the clinically inapparent adrenal mass („incidentaloma“).  Ann Intern Med. 2003;  138 424-429
  • 45 Bulow B, Ahren B. Adrenal incidentaloma – experience of a standardized diagnostic programme in the Swedish prospective study.  J Intern Med. 2002;  252 239-246
  • 46 Sturgeon C, Shen W T, Clark O H et al. Risk assessment in 457 adrenal cortical carcinomas: how much does tumor size predict the likelihood of malignancy?.  J Am Coll Surg. 2006;  202 423-430
  • 47 Pautler S E, Choyke P L, Pavlovich C P et al. Intraoperative ultrasound aids in dissection during laparoscopic partial adrenalectomy.  J Urol. 2002;  168 1352-1355
  • 48 Schaefer S, Shipotko M, Meyer S et al. Natural course of small adrenal lesions in multiple endocrine neoplasia type 1: an endoscopic ultrasound imaging study.  Eur J Endocrinol. 2008;  158 699-704
  • 49 Lam K Y, Lo C Y. Metastatic tumours of the adrenal glands: a 30-year experience in a teaching hospital.  Clin Endocrinol. 2002;  56 95-101
  • 50 Kocijancic K, Kocijancic I, Guna F. Role of sonografically guided fine-needle aspiration biopsy of adrenal masses in patients with lung cancer.  J Clin Ultrasound. 2004;  32 12-16
  • 51 Nürnberg D, Jung A, Spengler J et al. Nebennierentumor und Bronchialkarzinom – Ist jeder Nebennierentumor eine Metastase? (abstract).  Ultraschall in Med. 2006;  27 V12-1
  • 52 Tanvetyanon T, Robinson L A, Schell M J et al. Outcomes of adrenalectomy for isolated synchronous versus metachronous adrenal metastases in non-small-cell lung cancer: a systematic review and pooled analysis.  J Clin Oncol. 2008;  26 1142-1147
  • 53 Beland M D, Mayo-Smith W W. Ablation of adrenal neoplasms.  Abdom Imaging. 2009;  34 588-592
  • 54 Oliver T W, Bernardino M E, Miller J I et al. Isolated adrenal masses in nonsmall-cell bronchogenic carcinoma.  Radiology. 1984;  153 217-218
  • 55 Porte H L, Ernst O J, Delebecq Jr T et al. Is computed tomografy guided biopsy still necessary for the diagnosis of adrenal masses in patients with resectable non-small-cell lung cancer?.  Eur J Cardiothorac Surg. 1999;  15 597-601
  • 56 Harisinghani M G, Maher M M, Hahn P F et al. Predictive value of benign percutaneous adrenal biopsies in oncology patients.  Clin Radiol. 2002;  57 898-901
  • 57 Ho L M, Paulson E K, Brady M J et al. Lipid-poor adenomas on unenhanced CT: does histogram analysis increase sensitivity compared with a mean attenuation threshold?.  Am J Roentgenol. 2008;  191 234-238

Prof. Dr. C. F. Dietrich

Caritas-Krankenhaus, Innere Medizin 2

Uhlandstr. 7

97980 Bad Mergentheim

Phone: + + 49/79 31/58 22 01

Fax: + + 49/79 31/58 22 90

Email: Christoph.Dietrich@ckbm.de