Percutaneous lung biopsy: CT fluroscopic technique

Case contributed by Dr Ian Bickle

Presentation

Known endometrial carcinoma. Clinician disputes the inference that lung lesions are all pulmonary metastases. Concern over second primary from lung.

Patient Data

Age: 70
Gender: Female

Known endometrial primary.

Bilateral lung nodules/masses.

Largest in the left upper lobe adjacent to the aortic arch.

CT

Fluroscopic biopsy

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:

  1. The indication must be sound after clinicoradiological discussion.
  2. The patient must be worked up with consent prior to the procedure.
  3. The procedure should not be rushed and without outside interference.
  4. 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 haemoptysis.

Final diagnosis was an endometrial carcinoma metastasis on histopathology.

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Case information

rID: 30803
Case created: 4th Sep 2014
Last edited: 29th Sep 2016
Inclusion in quiz mode: Included

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