{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:07:24Z","timestamp":1753884444459,"version":"3.41.2"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"1092","license":[{"start":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:00:00Z","timestamp":1532476800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>Increased fludeoxyglucose\u00a0(FDG) uptake in morphologically normal adrenal glands on positron emission tomography-CT (PET-CT) is a diagnostic challenge with major implications on treatment. The purpose of this retrospective study was to report our experience of CT-guided percutaneous core biopsy of morphologically normal adrenal glands showing increased FDG uptake in a context of lung cancer.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>Biopsies for non-enlarged adrenal glands showing increased FDG uptake in lung cancer patients performed at our institution from December 2014 to December 2016 were retrospectively analyzed. Six biopsies were performed in five patients during the study period. All procedures were performed with the patients in the prone position, using a posterior approach and coaxial 17-gauge needles with 18-gauge automated cutting needles. Patient characteristics, procedural details and final pathological diagnosis were analyzed, as well as the duration of hospitalization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Five of the six biopsies (83.3%) confirmed adrenal metastasis from the primary lung cancer. No complications were reported and the patients were discharged the day after the procedure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>The high confirmation rate of metastasis and lack of complications support performing CT-guided percutaneous biopsy of non-enlarged adrenal glands showing increased FDG uptake, for optimal management in lung cancer patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>Morphologically normal adrenal glands showing high FDG uptake in patients with lung cancer are metastasis. This manuscript shows that CT-guided percutaneous biopsy should be proposed. Increased FDG uptake in morphologically normal adrenal glands may indicate metastasis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20180090","type":"journal-article","created":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T16:25:12Z","timestamp":1529079912000},"source":"Crossref","is-referenced-by-count":1,"title":["CT-guided percutaneous core biopsy for assessment of morphologically normal adrenal glands showing high FDG uptake in patients with lung cancer"],"prefix":"10.1093","volume":"91","author":[{"given":"Guillaume","family":"Chassagnon","sequence":"first","affiliation":[{"name":"Radiology Department, Groupe Hospitalier Cochin Broca H\u00f4tel-Dieu \u2013 Universit\u00e9 Paris Descartes , Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souhail","family":"Bennani","sequence":"additional","affiliation":[{"name":"Radiology Department, Groupe Hospitalier Cochin Broca H\u00f4tel-Dieu \u2013 Universit\u00e9 Paris Descartes , Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ga\u00ebl","family":"Freche","sequence":"additional","affiliation":[{"name":"Radiology Department, Groupe Hospitalier Cochin Broca H\u00f4tel-Dieu \u2013 Universit\u00e9 Paris Descartes , Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Magdeleinat","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Groupe Hospitalier Cochin Broca H\u00f4tel-Dieu \u2013 Universit\u00e9 Paris Descartes , Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Mansuet-Lupo","sequence":"additional","affiliation":[{"name":"Department of Pathology, Groupe Hospitalier Cochin Broca H\u00f4tel-Dieu \u2013 Universit\u00e9 Paris Descartes , Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Pierre","family":"Revel","sequence":"additional","affiliation":[{"name":"Radiology Department, Groupe Hospitalier Cochin Broca H\u00f4tel-Dieu \u2013 Universit\u00e9 Paris Descartes , Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,7,25]]},"reference":[{"key":"2024050214271599100_b1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.lungcan.2014.02.006","article-title":"Tumor, node and metastasis classification of lung cancer--M1a versus M1b--analysis of M descriptors and other prognostic factors","volume":"84","author":"S\u00e1nchez de Cos Escu\u00edn","year":"2014","journal-title":"Lung Cancer"},{"key":"2024050214271599100_b2","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1007\/s00259-004-1606-x","article-title":"Impact of [18F]FDG-PET on the primary staging of small-cell lung cancer","volume":"31","author":"Brink","year":"2004","journal-title":"Eur J Nucl Med Mol Imaging"},{"key":"2024050214271599100_b3","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1007\/s00268-015-3035-3","article-title":"High false positivity in positron emission tomography is a potential diagnostic pitfall in patients with suspected adrenal metastasis","volume":"39","author":"Lang","year":"2015","journal-title":"World J Surg"},{"key":"2024050214271599100_b4","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1007\/s12149-014-0937-3","article-title":"Differentiation of an adrenal mass in patients with non-small cell lung cancer by means of a normal range of adrenal standardized uptake values on FDG PET\/CT","volume":"29","author":"Kim","year":"2015","journal-title":"Ann Nucl Med"},{"key":"2024050214271599100_b5","first-page":"1340","article-title":"Characterization of the normal adrenal gland with 18F-FDG PET\/CT","volume":"45","author":"Bagheri","year":"2004","journal-title":"J Nucl Med"},{"key":"2024050214271599100_b6","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.lungcan.2010.12.019","article-title":"EUS-FNA for the detection of left adrenal metastasis in patients with lung cancer","volume":"73","author":"Schuurbiers","year":"2011","journal-title":"Lung Cancer"},{"key":"2024050214271599100_b7","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1002\/1097-0142(19840301)53:5<1058::AID-CNCR2820530507>3.0.CO;2-N","article-title":"Non-small cell lung carcinoma adrenal metastases. 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