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Current Case:
A 47-years old presented with a mass in the head of the pancreas.
Two EUS biopsies were negative. He was sent for a CT guided biopsy. He has multiple vessels overlying the lesion with an almost 0 mm window.
How would you biopsy this?
The video discusses the case, the biopsy approach how the use of a blunt needle can help navigate even a "0" mm inter-vessel window
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: Pancreas
Age: 47
Findings: Pancreatic head mass
Lesion Biopsied: Same lesion
Size of Lesion: > 30 mm
Gun: 18G BARD, 20 mm throw, long
No of cores: 5 for histopath
Sedation: No
Position & Approach: Supine, blunt needle to navigate vessels
Time Taken (marker to wash-out): 15 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Adenocarcinoma