Retroperitoneal lymphadenopathy trans-vertebral image-guided biopsy

a case report

Authors

  • Fausto Omar Rendon Hospital Italiano de Buenos Aires
  • Juan Baustista Del Valle Hospital Italiano de Buenos Aires
  • Melina Paula Valeo Chulvi Hospital Italiano de Buenos Aires
  • Mercedes Liliana Dalurzo Hospital Italiano de Buenos Aires
  • Juan Pablo Santino Hospital Italiano de Buenos Aires
  • Matías Adrián Borensztein Hospital Italiano de Buenos Aires

DOI:

https://doi.org/10.31053/1853.0605.v79.n3.37308

Keywords:

image guided biopsy, lymphatic metastasis, endometrial neoplasm

Abstract

Introducción: Transosseous biopsy allows sampling  of lesions that are difficult to access with conventional techniques. Its use avoids surgeries. 

Objective: To present a  clinical case in which retroperitoneal percutaneous biopsy with trans vertebral approach was used. A brief bibliographic revision of this technique will be made. 

Case: 60 year old woman with endometrial adenocarcinoma, with 7 months of clinical symptoms characterized  by asthenia and non-specific lumbar pain. An intercaval aortic lymphadenopathy was found. Trans vertebral biopsy of the lesion was decided, its location precluded conventional approaches access.  

Conclusion: This technique must be considered when studying unreacheable lesions by other means and performed by trained professionals.

Key words: image guided biopsy; lymphatic metastasis; endometrial neoplasm.

Author Biographies

  • Fausto Omar Rendon , Hospital Italiano de Buenos Aires

    . Residente en Diagnóstico por Imágenes. Servicio de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires.

    ORCID 0000-0003-0544-5650

  • Juan Baustista Del Valle, Hospital Italiano de Buenos Aires

    Interventional radiology.

    Radiology department, Hospital Italiano de Buenos Aires.

     

  • Melina Paula Valeo Chulvi, Hospital Italiano de Buenos Aires

    Pathologist

    Pathology department, Hospital Italiano de Buenos Aires.

  • Mercedes Liliana Dalurzo, Hospital Italiano de Buenos Aires

    Pathologist

    Pathology department, Hospital Italiano de Buenos Aires.



  • Juan Pablo Santino, Hospital Italiano de Buenos Aires

    Pathologist.

    Pathology department, Hospital Italiano de Buenos Aires.

  • Matías Adrián Borensztein, Hospital Italiano de Buenos Aires

    Interventional radiology.

    Radiology department, Hospital Italiano de Buenos Aires.

     

References

Atri M, Zhang Z, Dehdashti F, Lee SI, Marques H, Ali S, Koh WJ, Mannel RS, DiSilvestro P, King SA, Pearl M, Zhou X, Plante M, Moxley KM, Gold M. Utility of PET/CT to Evaluate Retroperitoneal Lymph Node Metastasis in High-Risk Endometrial Cancer: Results of ACRIN 6671/GOG 0233 Trial. Radiology. 2017 May;283(2):450-459. doi: 10.1148/radiol.2016160200.

Lucchini SM, Esteban A, Nigra MA, Palacios AT, Alzate-Granados JP, Borla HF. Updates on conservative management of endometrial cancer in patients younger than 45 years. Gynecol Oncol. 2021 Jun;161(3):802-809. doi: 10.1016/j.ygyno.2021.04.017.

Gupta S, Nguyen HL, Morello FA Jr, Ahrar K, Wallace MJ, Madoff DC, Murthy R, Hicks ME. Various approaches for CT-guided percutaneous biopsy of deep pelvic lesions: anatomic and technical considerations. Radiographics. 2004 Jan-Feb;24(1):175-89. doi: 10.1148/rg.241035063.

Veltri A, Bargellini I, Giorgi L, Almeida PAMS, Akhan O. CIRSE Guidelines on Percutaneous Needle Biopsy (PNB). Cardiovasc Intervent Radiol. 2017 Oct;40(10):1501-1513. doi: 10.1007/s00270-017-1658-5.

Mark A, Karam AR, Grand DJ. Review of CT-guided trans-osseous biopsies. Abdom Radiol (NY). 2022 Aug;47(8):2612-2622. doi: 10.1007/s00261-021-03167-9.

Chehab M, Zintsmaster S, Jafri SZ, Richards M, Roy A. CT-guided Transosseous Soft Tissue Biopsy: Techniques, Outcomes and Complications in 50 Cases. Cardiovasc Intervent Radiol. 2017 Sep;40(9):1461-1468. doi: 10.1007/s00270-017-1669-2.

Aström KG, Ahlström KH, Hagberg HE. CT-guided transvertebral core biopsy of a retrocrural mass. AJR Am J Roentgenol. 1997 Oct;169(4):991-3. doi: 10.2214/ajr.169.4.9308449.

Zahid MF. Methods of reducing pain during bone marrow biopsy: a narrative review. Ann Palliat Med. 2015 Oct;4(4):184-93. doi: 10.3978/j.issn.2224-5820.2015.09.02.

Published

2022-09-16

Issue

Section

Case Report

How to Cite

1.
Retroperitoneal lymphadenopathy trans-vertebral image-guided biopsy: a case report. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2022 Sep. 16 [cited 2024 Sep. 28];79(3):289-93. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/37308

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