Case 153: Narrow Window Pancreatic Lesion Biopsies with a Blunt Needle Tip
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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
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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
Table of Contents and Other Abdominal and Pancreatic Biopsies
Table of Contents
Table of Contents
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