Presurgical hypogastric lymph node marking under CT guidance, aided by hidrodissection
DOI:
https://doi.org/10.31053/1853.0605.v80.n2.40863Keywords:
radiology interventional, safety, lymph node excisionAbstract
Introduction: Pre-surgical lymph node marking is an established medical procedure of vital importance in the treatment of cancer patients.
Materials: A 60-year-old man with a history of prostatic adenocarcinoma in a plan for resection of hypogastric adenopathy. Image guided pre-surgical marking was indicated.
Results: Preoperative marking was performed with local anesthesia under computed tomography with transosseous access and hydrodissection.
Conclusion: We present a technique that has been little studied and rarely reported in the international literature for the surgical identification of deep pelvic adenopathy.
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Goyal A, Puri S, Marshall A, Valassiadou K, Hoosein MM, Carmichael AR, Erdelyi G, Sharma N, Dunn J, York J. A multicentre prospective feasibility study of carbon dye tattooing of biopsied axillary node and surgical localisation in breast cancer patients. Breast Cancer Res Treat. 2021 Jan;185(2):433-440. doi: 10.1007/s10549-020-05961-3.
Velasquez R, Martin A, Abu Hishmeh M, DeLorenzo L, Dhillon SS, Harris K. Placement of markers to assist minimally invasive resection of peripheral lung lesions. Ann Transl Med. 2019 Aug;7(15):360. doi: 10.21037/atm.2019.03.50.
IshimaruT, Fujishiro J, Sugiyama M, Arai M, Satoh K, Uotani C, Takahashi M, Takami S, Sato J, Takita J, Iwanaka T. Preoperative computed tomography-guided marking is useful for intraoperative identification of a tiny intraabdominal recurrent lesion of pancreatoblastoma. Journal of Pediatric Surgery Case Reports. 2017;21: 29–32. doi: 10.1016/j.epsc.2017.04.006
Yang BL, Chen KC, Wu CC. Preoperative computerized tomography-guided blue dye localization for metastatic lymphadenopathy and peritoneal tumor implants during laparoscopic surgery: Two case reports. Medicine (Baltimore). 2019 Jun;98(25):e16159. doi: 10.1097/MD.0000000000016159.
Rendon FO, Del Valle JB, Valeo Chulvi MP, Dalurzo ML, Santino JP, Borensztein MA. Biopsia de linfadenopatía retroperitoneal guiada por imágenes con abordaje trans-vertebral: reporte de un caso [Retroperitoneal lymphadenopathy trans-vertebral image-guided biopsy: a case report]. Rev Fac Cien Med Univ Nac Cordoba. 2022 Sep 16;79(3):289-293. Spanish. doi: 10.31053/1853.0605.v79.n3.37308.
Del Valle JB, Borensztein MA, Ducrey G, Savluk JL. Biopsias pelvianas percutáneas: guía iconográfica de abordajes seguros. Rev Argent Radiol. 2022; 86(2): 124-134. doi:10.24875/rar.m22000012.
Gupta S, Wallace MJ, Morello FA Jr, Ahrar K, Hicks ME. CT-guided percutaneous needle biopsy of intrathoracic lesions by using the transsternal approach: experience in 37 patients. Radiology. 2002 Jan;222(1):57-62. doi: 10.1148/radiol.2221010614.
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.
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.
Asvadi NH, Arellano RS. Hydrodissection-assisted image-guided percutaneous biopsy of abdominal and pelvic lesions: experience with seven patients. AJR Am J Roentgenol. 2015 Apr;204(4):865-7. doi: 10.2214/AJR.14.13040.
Tsoumakidou G, Buy X, Garnon J, Enescu J, Gangi A. Percutaneous thermal ablation: how to protect the surrounding organs. Tech Vasc Interv Radiol. 2011 Sep;14(3):170-6. doi: 10.1053/j.tvir.2011.02.009.
Garnon J, Cazzato RL, Caudrelier J, Nouri-Neuville M, Rao P, Boatta E, Ramamurthy N, Koch G, Gangi A. Adjunctive Thermoprotection During Percutaneous Thermal Ablation Procedures: Review of Current Techniques. Cardiovasc Intervent Radiol. 2019 Mar;42(3):344-357. doi: 10.1007/s00270-018-2089-7.
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