Adrenal Incidentaloma: A Diagnostic Dilemma

Abstract

Adrenal incidentalomas (AI) are most commonly harmless detected through imaging procedures done for unrelated reasons. Some, if left untreated can have significant consequences. This in turn poses for the caring physician a dilemma as to whether or not to pursue a biopsy. As of now, surgery has been the only feasible diagnostic approach. Here, AI was successfully biopsied via EUS-FNA, which resulted in diagnostic yield. This case is important in that it highlights the use of endoscopic ultrasonography (EUS) with fine needle aspiration (FNA) as an alternative modality.