Chen H, Jing X. Individualized treatment guided by endoscopic ultrasound-guided fine-needle aspiration for adrenocortical oncocytoma: A case report. World J Clin Oncol 2025; 16(2): 98223 [DOI: 10.5306/wjco.v16.i2.98223]
Corresponding Author of This Article
Xue Jing, MD, PhD, Doctor, Professor, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, No. 59 Haier Road, Jinjialing Street, Laoshan District, Qingdao 266000, Shandong Province, China. jingxue@qdu.edu.cn
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Oncol. Feb 24, 2025; 16(2): 98223 Published online Feb 24, 2025. doi: 10.5306/wjco.v16.i2.98223
Individualized treatment guided by endoscopic ultrasound-guided fine-needle aspiration for adrenocortical oncocytoma: A case report
Han Chen, Xue Jing
Han Chen, Xue Jing, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China
Author contributions: Chen H prepared histopathological examination and illustrations and reviewed the topic presentation and the manuscript's structure and photographs; Jing X obtained resources and reviewed and edited the writing; all authors contributed to the article and approved the submitted version.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue Jing, MD, PhD, Doctor, Professor, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, No. 59 Haier Road, Jinjialing Street, Laoshan District, Qingdao 266000, Shandong Province, China. jingxue@qdu.edu.cn
Received: June 20, 2024 Revised: October 1, 2024 Accepted: November 12, 2024 Published online: February 24, 2025 Processing time: 173 Days and 19.6 Hours
Abstract
BACKGROUND
Adrenocortical oncocytoma is a rare, mostly benign, nonfunctional tumor that is typically detected incidentally. Its diagnosis is challenging because of the absence of distinctive imaging characteristics, necessitating pathological validation.
CASE SUMMARY
We present a case report of a 35-year-old woman with an adrenal mass located on the left side, where endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed after comprehensive diagnostic assessment. Our results are consistent with those of previously documented cases regarding tumor demographics and anatomical location. Given the limited number of reports on this condition, long-term follow-up is crucial to enhance our understanding of its prognosis.
CONCLUSION
For patients with adrenocortical oncocytoma, EUS-FNA can enables collection of preoperative tissue specimens leading to suitable treatment strategies.
Core Tip: The patient, a 35-year-old female, presented with an incidental finding of a left-sided adrenal mass. The nature of the mass remained uncertain following conventional imaging modalities and laboratory tests, leading us to the utilization of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). The resultant pathological report confirmed the diagnosis of a nonfunctional adrenocortical oncocytoma, a rare and generally benign adrenal neoplasm. Based on this diagnosis, a tailored treatment plan was devised. This case highlights the utility of EUS-FNA in obtaining preoperative pathological confirmation, vital for customizing management strategies for individuals with nonfunctional adrenocortical oncocytomas.
