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CT Guided BiopsyBhavin Jankharia

Current Case:

66-years old man presented with a mass in the spleen involving the tail of the pancreas.

The patient came for a biopsy and I decided to use an anterior approach in the supine position.

I had described a splenic lesion biopsy earlier as Case 115.

Case 115: Splenic Lesion Biopsy
Splenic lesion biopsies are simple and straightforward. Bleeding and pain are the two main issues.
CT Guided BiopsyBhavin Jankharia

The video below describes the case, the final outcome, 3 new papers in the last years, since Case 115 and one more case.

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Region: Spleen
Age: 66 years
Findings: Large splenic mass involving tail of pancreas
Lesion Biopsied: Splenic mass
Size of Lesion: > 30 mm
Gun: 18G BARD, 20 mm throw, long
No of cores: 5 for HP
Sedation: No
Position & Approach: Supine
Time Taken (marker to wash-out): 6 mins
Complication: 75 cc bleeding perisplenic stable after the 1st hour
Level of Difficulty: 3/5
Diagnosis: Non-Hodgkin’s lymphoma, large B-cell type

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Table of Contents and Other Pelvic Node Biopsies

Table of Contents
Table of Contents
CT Guided BiopsyBhavin Jankharia

Previous Post:

Case 170 - Peri-Aortic Soft Tissue Biopsy
Peri-aortic soft tissue can be biopsied safely if at least 8 mm width is available for needle placement. Using intravenous contrast during the procedure helps to identify the aortic margins.
CT Guided BiopsyBhavin Jankharia

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