Case 145: Transpancreatic Liver Lesion Biopsy
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Current Case:
A 66-years old with both metastatic neuroendocrine tumor (NET) and metastatic papillary renal carcinoma came with a lesion on the caudate lobe surface possibly involving it.
The oncologist wanted a biopsy to differentiate between renal cell and NET metastasis.
Which route will you take?
The video discusses the case, the approach to this lesion and a discussion on different transorgan approaches.
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Region: Liver
Age: 66 years
Findings: Lesion on surface of an involving caudate lobe
Lesion Biopsied: Surface caudate lobe liver
Size of Lesion: 27.4 mm z axis x 18.7 mm
Gun: 20 G Cook
No of cores: 8 for histopath in 6 vials
Sedation: No
Position & Approach: Supine, transpancreatic
Time Taken (marker to wash-out): 14 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastatic renal cell carcinoma