Case 154: Glenoid and Other Scapular Lesion Biopsies
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Current Case:
A 35-yrs old with healed Langerhans cell histocytosis (LCH) in the pelvic bones presented with a focal lesion in the right glenoid.
The medical oncologist wanted a biopsy to confirm and then a steroid injection at the same time.
The only route was this in the prone position.
The video discusses the case, the biopsy approach, how the glenoid lesion was tackled and then a discussion on other scapular lesion biopsies including the scapular body, acromion process and coracoid process.
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Region: Scapula
Age: 36 yrs
Findings: Glenoid lesion
Lesion Biopsied: Glenoid lesion
Size of Lesion: Not relevant
Gun: 14G BARD, 20 mm throw, long
No of cores: 5 for histopath
Sedation: Yes
Position & Approach: Prone, plus injected steroid
Time Taken (marker to wash-out): 14 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Recurrent LCH
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