Table of Contents

Table of Contents
Table of Contents

Previous Case:

Case 142: Sub 5 mm Lung Nodule Biopsy
Sub 5 mm lung nodules can be biopsied safely by following a few simple principles and steps

Current Case:

A 71-years old with carcinoma tongue, treated 7 months prior presented with right pleural effusion and small pleural nodules.

PET/CT showing focal pleural nodule posteriorly in the mid hemithorax with effusion

She was referred for a CT guided biopsy. The nodule shown was the most accessible, measuring 2.4 mm in thickness.

There are typically two options - going perpendicular or parallel

The video discusses the case, the approach to this nodule and basic principles of performing pleural biopsies as far as possible using a parallel approach

Please note that the video only plays within this browser page and not outside of this browser page. If the video does not autoplay in your email, then you will need to open this page in your browser, by clicking "View Online", in the 2nd line below the title of the post and next to my name.

Region: Pleura
Age: 71 yrs
Findings: Pleural effusion and pleural nodules
Lesion Biopsied: Posterior mid-thoracic pleural nodule
Size of Lesion: 2.4 mm transverse thickness
Gun: 20G Cook, 10 mm throw, long
No of cores: 6 for histopath and 2 for microbiology
Sedation: No
Position & Approach: Prone, from left to right - parallel to pleura
Time Taken (marker to wash-out): 12 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastatic poorly differentiated squamous cell carcinoma, consistent with tongue primary

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