Lung biopsy - adenocarcinoma

Case contributed by Dr Ian Bickle

Presentation

Incidental left upper lobe mass on chest x-ray performed during an admission with a stroke.

Patient Data

Age: 80
Gender: Female
CT

Diagnostic CT performed in private sector in alternative institution without image guided biopsy facilities

Spiculated 2.4cm nodule high in the left upper lobe suspicious for a primary lung tumour
CT

A lateral approach is chosen in this instance.  It minimizes the lesion-pleural distance.  The patient was unable to hold the arm above the head for an anterior approach and the scapula obstructs a posterior approach with the patient prone

Note the breast has been taped antero-medially to reduce the distance to the mass from the lateral approach.

CT

The bone window best allows identification of the needle tip. It is on course for the lesion.

CT
Photo

A variation of biopsy needles available for image guided biopsy procedures, such as lung biopsy.

CT

No post-procedural pneumothorax.

Case Discussion

This case illustrates the step wise approach to CT guided lung biopsy.  Pulmonary nodules are common and often require biopsy for histological assessment. In this case the biopsy confirmed the suspicion of lung cancer.

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Case information

rID: 21680
Case created: 10th Feb 2013
Last edited: 7th Feb 2016
Inclusion in quiz mode: Included

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