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CT Guided BiopsyBhavin Jankharia

Current Case:

A 71-years old treated in the past for T-cell lymphoma came with new active nodes on a PET/CT with splenic involvement. The biopsy for some reason for deferred for 10 weeks.

The initial plan was to biopsy the left para-aortic node using a posterior transpsoas approach.

However, since 10 weeks had elapsed, a repeat CT scan was done, which showed marked increase in the size of one of the enlarged pre-aortocaval nodes.

A decision was made to biopsy this node using an anterior approach in the supine position.

The video discusses the case, the approach with a detailed discussion of the various approaches for retroperitoneal lesion biopsies with a new diagram.
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Region: Retroperitoneum
Age: 71
Findings: Multiple enlarged nodes
Lesion Biopsied: Pre-aortocaval
Size of Lesion: > 30 mm
Gun: 18G BARD, 20 mm throw, long
No of cores: 7 for histopath
Sedation: No
Position & Approach: Supine
Time Taken (marker to wash-out): 8 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Non-Hodgkin lymphoma of diffuse B-cell type

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Table of Contents and Other Retroperitional Lesion and Nodal Biopsies

Table of Contents
Table of Contents
CT Guided BiopsyBhavin Jankharia

Previous Post:

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The Two Lies and the One Moral Failure of Traditional Medicine in Cancers
That traditional medicine in cancer does not cause harm and that it works are lies. The practitioners have serious moral ethical issues to grapple with.
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