CT guided bone biopsy - femur neck

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

The patient had been referred for a biopsy of the lesion located on the neck of the left femur.

Patient Data

Age: 50 years
Gender: Male
This study is a stack
Coronal
bone window
This study is a stack
Axial bone
window
This study is a stack
Axial
non-contrast
Show annotations
Download
Info

There is an intramedullary lesion measuring 25 x 30 x 35 mm located along the neck of the left femur. This lesion exhibits chondroid matrix calcifications.

There is no evidence of cortical breakthrough or soft tissue involvement.

This study is a stack
Axial bone
window
This study is a stack
Axial bone
window
This study is a stack
Axial bone
window
This study is a stack
Axial bone
window
This study is a stack
Axial bone
window
This study is a stack
Axial bone
window
Show annotations
Download
Info

CT guidance was used for the biopsy, performed with sterile techniques. Local anesthetic and IV propofol were administered under the supervision of an anesthesiologist. Two bone specimens were obtained from the left femur, with no immediate post-procedure complications. The patient recovered in the Radiology Department day ward.

Case Discussion

CT image findings suggested differential diagnoses of enchondroma and, less probably, chondrosarcoma. A core needle biopsy was performed, and the histopathology results confirmed the diagnosis of enchondroma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.