Retroperitoneal lymphadenopathy trans-vertebral image-guided biopsy
a case report
DOI:
https://doi.org/10.31053/1853.0605.v79.n3.37308Keywords:
image guided biopsy, lymphatic metastasis, endometrial neoplasmAbstract
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.
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.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The generation of derivative works is allowed as long as it is not done for commercial purposes. The original work may not be used for commercial purposes.