Table of Contents

Table of Contents
Table of Contents

Previous Case:

Case 143: Long Parallel Approach to Small Pleural Lesions
Pleural lesions can be easily biopsied using an approach parallel to the long axis of the lesion

Current Case:

A 77-years old with carcinoma prostate treated 7 years ago, came with a PSMA PET/CT showing a focal sclerotic lesion in the left ischiopubic ramus that had mildly increased in size over 7 years and had an HU of 750.

This was the only lesion and hence he was referred for a CT guided biopsy.

The video discusses the case, the approach to this sclerotic lesion and some basic issues with a biopsy of sclerotic bone lesions

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: Bony pelvis
Age: 77 years
Findings: One focal sclerotic lesion in the left ischiopubic ramus - HU of 750
Lesion Biopsied: Prone ischiopubic ramus and supine adductor collection
Size of Lesion: 10.5 mm z axis x 8.7 mm
Gun: 11G bone biopsy and 18G Medax 20 mm throw long
No of cores: 4 for histopath
Sedation: Yes
Position & Approach: Prone
Time Taken (marker to wash-out): 10 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastatic adenocarcinoma from prostate primary

Prior Similar Cases

Case 116: Clavicular Lesion Biopsy
Clavicle lesion biopsies are easy to perform under USG or CT guidance
Case 132: Biopsy of a Sclerotic Rib Lesion without Soft Tissue
Rib lesion biopsies can be safely done in virtually all situations.

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