bjankharia | Instagram, Facebook | Linktree
Radiologist, Writer, Atmasvasth

Current Case:

A 54-years old treated for left upper buccal squamous cell carcinoma had pain and difficulty in mouth opening.

PET/CT showed soft tissue but with minimal uptake in the left upper buccal space extending into the masticator space

It was decided to follow-up this lesion, since it was not clear, whether this was post-operative of tumor. 6 weeks later, a contrast CT shows minimal increase in the soft tissue

The patient was sent for a biopsy.

How will you biopsy this lesion?

The video discusses the case, the approach to this lesion and a discussion of suprahyoid neck biopsies.

Region: Buccal space
Age: 54
Findings: Soft tissue in upper GB space
Lesion Biopsied: Same lesion
Size of Lesion: Not relevant
Gun: 18G short Cook, 10 mm throw
No of cores: 4 for histopath
Sedation: No
Position & Approach: Supine, transbuccal
Time Taken (marker to wash-out): 8 mins
Complication: None
Level of Difficulty: 3/4
Diagnosis: Squamous cell carcinoma recurrence

Table of Contents:

Table of Contents
Table of Contents

Previous Post:

Case 148: Sternal Lesion Biopsy – Increasing Obliquity for Safer Biopsies
The smaller the sternal lesion, the larger is the obliquity of the needle to the vertical

Other Sites and Cases:

Lecture: Risk Stratification of Lung Nodules
What to do when faced with a solitary lung nodule.
The Overweight Myth: Why Overnutrition Is Better Than Undernutrition Every Single Time!
Why it is better to overnourished due to food availability than undernourished due to food scarcity, every single time
Case 155: Early Darkness
All about microvascular obstruction (MVO)
Our Burden of the Time Tax
Each time we are delayed because of potholes or bridge closures without a backup plan, we pay a time tax.
Lecture: Approach to Cartilage Tumors
A short lecture on cartilage tumors, mainly central cartilage tumors - how to diagnose and triage