Presentation
Known endometrial carcinoma. Clinician disputes the inference that lung lesions are all pulmonary metastases. Concern over second primary from lung.
Patient Data
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Known endometrial primary.
Bilateral lung nodules/masses.
Largest in the left upper lobe adjacent to the aortic arch.
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The stages of the biopsy can be observed in the 'loop'of images acquire from skin infiltration through to post biopsy check.
Case Discussion
CT guided thoracic biopsy is a everyday and essential serve offering from a radiology department.
Key aspects:
- The indication must be sound after clinicoradiological discussion.
- The patient must be worked up with consent prior to the procedure.
- The procedure should not be rushed and without outside interference.
- After care facilities must be robust and trusted - pneumothorax and haemopytsis are not uncommon.
For example, this procedure was performed promptly and without needle re-positioning yet the patient has significant post procedural hemoptysis.
Final diagnosis was an endometrial carcinoma metastasis on histopathology.