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Bhavin Jankharia
Current Case:
66-years old with metastatic breast carcinoma had a new right common iliac node.
The oncologist wanted a biopsy and to check ER, PR HER2 neu.
Here are the previous posts describing the other approaches.
Anterior Approach
Case 63: Anterior Approach for Iliac Node Biopsy
Left proximal external iliac node biopsied using an anterior approach.
Bhavin Jankharia
Case 88: Transiliopsoas Route for Iliac Bifurcation Node Biopsy
Most pelvic lesions are approachable one way or another. An understanding of anatomy goes a long way in helping us find the correct route.
Bhavin Jankharia
Case 164: Parting of the Bowel Loops with a Blunt-Tip
Those who do CT guided biopsies should use the blunt-tip technique more often. It allows safe passage past bowel and vessels to reach the target.
Bhavin Jankharia
Posterior Approach
Case 62: Transsacral Biopsy for Iliac Nodes
Transsacral biopsy of an iliac bifurcation note
Bhavin Jankharia
The video describes the case and the different approaches to biopsy of pelvic nodes.
Region: Pelvis
Age: 66 years
Findings: Rt common iliac enlarged active node
Lesion Biopsied: Same
Size of Lesion: 15.3 mm z axis x 13.7 mm
Gun: 18G COok, 10 mm throw, long
No of cores: 5 for histopath
Sedation: No
Position & Approach: Prone
Time Taken (marker to wash-out): 9 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Metastatic carcinoma from breast primary
Table of Contents and Other Pelvic Node Biopsies
Table of Contents
Table of Contents
Bhavin Jankharia
Previous Post:
Case 168: Occipital Bone Osteolytic Lesion Biopsy
Different parts of the calvarium can be usually easily biopsied depending on the anatomy and morphology
Bhavin Jankharia
Other Sites and Cases:
Case of the Day on YouTube
Case 54: Multiple Bone Lesions
41-years old presented with fever
Bhavin Jankharia
Diagnosing Diabetes Early and in the Elderly and the Prediabetes Label
Diabetes is one of the 5 components of the modern syndemic. The biggest tragedy is the number of undiagnosed people around us - we can help by getting everyone around us tested.
Bhavin Jankharia
