Case 172 - Right Adrenal Gland Biopsy Using an Ipsilateral Up Approach with Hydrodissection

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CT Guided BiopsyBhavin Jankharia

Current Case:

66-years old with treated lung cancer was found to have a right adrenal gland nodule.

What would be your approach?

The video below describes the case, why none of these approaches worked, but what was done finally was a biopsy using an ipsilateral up approach with hydrodissection.

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Region: Adrenal Gland
Age: 66 yrs
Findings: Right adrenal gland nodule
Lesion Biopsied: Same
Size of Lesion: 16 mm z axis x 12.4 mm
Gun: 18G BARD, long, 20 mm throw
No of cores: 3 for histopath
Sedation: No
Position & Approach: left lateral decubitus - first prone, then rt lateral decubitus, then left plus hydrodissection, extrapleural
Time Taken (marker to wash-out): 17 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastatic adenocarcinoma consistent with lung primary

Table of Contents and Other Adrenal Gland Biopsies Biopsies

Table of Contents

Table of Contents

CT Guided BiopsyBhavin Jankharia

Previous Post:

Case 171 - Splenic Mass Biopsy

Splenic biopsies, whether USG or CT guided are relatively safe and should be done with up to an 18G biopsy gun, provided the coagulation parameters are perfectly normal and there is no other site that can be biopsied.

CT Guided BiopsyBhavin Jankharia

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