This 67-years old treated in the past for carcinoma cervix was found to have an aortocaval node on a PET/CT and referred for a biopsy.

How would you biopsy it? What are the various options for retroperitoneal lesion biopsies?

The video discusses the case and these issues.

Please note that the video only plays within this browser page and not outside of this browser page. If the video does not autoplay in your email, then you will need to open this page in your browser, by clicking "View Online", in the 2nd line below the title of the post and next to my name.

Region: Retroperitoneum
Age: 67
Findings: Aortocaval node
Lesion Biopsied: Aortocaval node
Size of Lesion: 14.3 x 13.2 mm (z axis)
Gun: 20 G, 10 mm throw
No of cores: 2 for histopath
Sedation: No
Position & Approach: Supine, transperitoneal
Time Taken (marker to wash-out): 10 mins
Complication: None
Level of Difficulty: 5/5
Diagnosis: Metastasis from Ca cervix


Table of Contents

Table of Contents
Table of Contents

Other Sites

CT Chest Review
Weekly reviews of CT chests with cases, lectures, journal clubs and videos
Lecture Snippet: Benign Aggressive Lesions
Lesions that are “benign” on X-rays and “aggressive” on MRI