Question 2613

Question contributed by Joe Mullineux ◉

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An incidental, solitary hypodense splenic lesion (HU>20) is demonstrated on a staging CT for rectal cancer. No other extra-colonic finding on is demonstrated on the CT. The surgical team ask for an image-guided biopsy. What would be the most appropriate next step?

advise this is likely benign and no further action is required

agree to image-guided core biopsy and use an 18G or finer needle

agree to image-guided fine needle aspiration biopsy (FNAB)

suggest FDG PET-CT prior to considering biopsy

suggest MRI liver protocol prior to considering biopsy

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Question 2613

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Question 2613

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