Vertebral body CT-guided biopsy

Case contributed by Dr Bruno Di Muzio

Presentation

59-year-old female patient with bone lytic lesions, likely metastases. Previous breast cancer.

Patient Data

Age: 55 years
Gender: Female
Nuclear medicine

Bone Scan

There are suspected metastases in the right T12/T11 apophyseal joint and on the left side of the T11 body inferiorly as well as possibly right 9th rib laterally. 

CT

CT-guiged vertebral biopsy

With the patient laying prone, CT scan was performed for planning purposes. A suitable skin site was identified and marked. The patient was prepped and draped in usual sterile fashion. Under light sedation with Midazolam and Fentanyl, as well as skin and periosteal local anesthesia with lignocaine 1%, CT-guided biopsy was performed through the lytic lesion on the left aspect of T11. Sample was placed in formalin.

Case Discussion

This case is illustrative of a CT-guided thoracic spine bone biopsy. 

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Case information

rID: 53756
Published: 5th Jun 2017
Last edited: 14th Aug 2019
System: Spine
Tag: rmh
Inclusion in quiz mode: Excluded

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