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. 2015 Oct;7(10):E439–E458. doi: 10.3978/j.issn.2072-1439.2015.10.08

Figure 2.

Figure 2

Large hypoechoic, heterogeneous mass lesion of the left adrenal with small cysts in a male patient with radiological suspicion of peripheral lung cancer (A). EUS-FNA was performed using a 22 Gauge-aspiration needle. Smear cytology (B) (Papanicolaou, ×200; immunocytochemistry: CK7 and EMA positive, CD56 and CK5/14 negative) gives proof of poorly differentiated adenocarcinoma, consistent with the clinical suspicion of left adrenal metastasis of NSCLC. Cytological image: courtesy Dr. K. Zels, Königs Wusterhausen, Germany. EUS-FNA, endoscopic ultrasound fine needle aspiration.