Case 160: Biopsy of Non-Expansile Diaphyseal Long Bone Lesions

Bhavin Jankharia -

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CT Guided BiopsyBhavin Jankharia

Current Case:

A 22-years old with pain and swelling of the right thigh presented with a mid-femoral lesion.

This is a non-expansile lesion.

The challenge though is to ensure that adequate material is capture in the 10 mm tray with a 2-3 mm tip with the z axis of the lesion is also just 12 mm.

The video describes the case and the approach with a detailed discussion of how to get adequate material when you don't have enough length along the Z-axis.
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Region: Femur
Age: 22 years
Findings: Long segment femur lesion
Lesion Biopsied: Mid-femur
Size of Lesion: Not relevant
Gun: 11G Cook bone biopsy needle and 18G Cook 10 mm throw, long
No of cores: 8 for histopath and aspirate for microbiology and cytology
Sedation: Yes
Position & Approach: Supine
Time Taken (marker to wash-out): 14 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Osteomyelitis - Salmonella typhi

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Table of Contents and Other Retroperitional Lesion and Nodal Biopsies

Table of Contents
Table of Contents
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