Mediastinal CT-guided biopsy (large B-cell lymphoma)

Case contributed by Dr Bruno Di Muzio


Mediastinal mass with SVC obstruction, likely lymphoma.

Patient Data

Age: 21-year-old
Gender: Male

CT-guided mediastinal biopsy

Under CT guidance the core-biopsy procedure using a co-axial 19/20G true-cut needle was performed, and four fragments were obtained. The previous diagnostic scan performed with IV contrast was used for planning purposes, such as the location of the mammary arteries. 

Case Discussion

This case illustrates the planning and approach for a large and ill-defined mediastinal mass core biopsy guided by CT. Pathology has confirmed a large B-cell lymphoma. 

Please, refer to the article on CT-guided thoracic biopsy for further discussion on technique. 

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Case information

rID: 47981
Published: 13th Sep 2016
Last edited: 14th Aug 2019
Tag: rmh
Inclusion in quiz mode: Excluded

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