Case 146: Lung Nodule Biopsy in a Patient with UIP/IPF
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Current Case:
A 67-years old presented with a fibrosing ILD in 2018, which was diagnosed as probable UIP/IPF
In May 24, a follow-up CT showed progression of disease and a new lung nodule.
The pulmonologist wanted a biopsy. I thought this would be the best route.
A new paper also discusses this issue.
The video discusses the case, the approach to this lesion with a discussion on biopsy of focal lung lesions in patients with fibrosing ILDs with multiple other examples
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Region: Lung
Age: 73
Findings: New lung nodule in a UIP/IPF background
Lesion Biopsied: Nodule
Size of Lesion: 20.8 mm z axis x 20.22 mm - avg size - 20.5 mm
Gun: 20G Cook, 10 mm throw, short
No of cores: 6 for histopath and 2 for microbiology
Sedation: No
Position & Approach: Prone
Time Taken (marker to wash-out): 8 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Granulomatous disease, negative GeneXpert