Case 166: Translaminar Vertebral Body Lesion Biopsy

Bhavin Jankharia -

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CT Guided BiopsyBhavin Jankharia

Current Case:

A 65-years old under treatment for metastatic carcinoma breast had a focal osteolytic lesion in the S1 vertebral body.

She was referred for a biopsy. This was the only approach. Hence, the plan was to biopsy using a translaminar approach, while making sure that the left S1 nerve root and the thecal sac are not injured

The video describes the case and the use of this translaminar approach.

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Region: Spine, Sacrum
Age: 65 yrs
Findings: Osteolytic lesion S1 body
Lesion Biopsied: Same
Size of Lesion: Not relevant
Gun: 11G Cook bone biopsy and 18G BARD 20 mm throw, long
No of cores: 5 for histopath
Sedation: Yes
Position & Approach: Prone, translaminar S1 between nerve root and thecal sac
Time Taken (marker to wash-out): 12 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastasis from known breast primary

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Table of Contents and Other Spine Biopsies

Table of Contents
Table of Contents
CT Guided BiopsyBhavin Jankharia

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