Case 162: Subgaleal Calvarial Lesion Biopsy

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CT Guided BiopsyBhavin Jankharia

Current Case:

A 70-years old presented with left frontal swelling and headache.

She was posted for a biopsy of the subgaleal soft tissue, but she did not turn up. 2 months later, she presented with progression of disease.

The video describes the case and the approach with 2 other examples of different skull and calvarial biopsies.

Region: Skull, Calvarium
Age: 70
Findings: Intra and extradural lesion with permeative frontal bone involvement
Lesion Biopsied: Subgaleal calvarial soft tissue
Size of Lesion: Not relevant
Gun: 18G Cook, 10 mm throw, short
No of cores: 11 for histopath in 5 vials and four for microbiology
Sedation: Conscious
Position & Approach: Oblique, out-of-plane
Time Taken (marker to wash-out): 11 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Non-Hodgkin’s lymphoma of follicle cell phenotype

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