CT-guided biopsy of intercostal metastasis
Updates to Case Attributes
This patient had been treatingtreated for a left breast cancer and, on her follow up CT, a left anterior intercostal massamass was noted. The oncologist demanded for an histopathology of this lesion.
We tried first an ultrasound-guided approach, but the lesion was was not well defined in this imaging modality. So we opted for a CT-guided biopsy.
For a safe approach avoiding lung lung or heart, the core needle was introduced in a right paramedian point, with a low angle with chest wall, in a way that it would do do a long subcutaneous path using sternal using sternal edge to support and guide it.
The pathological pathological examination confirmed breast cancer metastasis.
-<p>This patient had been treating for a left breast cancer and, on her follow up CT, a left anterior intercostal massa was noted. The oncologist demanded for an histopathology of this lesion.</p><p>We tried first an ultrasound-guided approach, but the lesion was not well defined in this imaging modality. So we opted for a <a title="CT-guided biopsy" href="/articles/ct-guided-biopsy">CT-guided biopsy</a>.</p><p>For a safe approach avoiding lung or heart, the core needle was introduced in a right paramedian point, with a low angle with chest wall, in a way that it would do a long subcutaneous path using sternal edge to support and guide it.</p><p>The pathological examination confirmed a <a title="Breast cancers" href="/articles/breast-neoplasms">breast cancer</a> metastasis. </p>- +<p>This patient had been treated for left breast cancer and, on her follow up CT, a left anterior intercostal mass was noted. The oncologist demanded histopathology of this lesion.</p><p>We tried first an ultrasound-guided approach, but the lesion was not well defined in this imaging modality. So we opted for a <a href="/articles/ct-guided-biopsy">CT-guided biopsy</a>.</p><p>For a safe approach avoiding lung or heart, the core needle was introduced in a right paramedian point, with a low angle with chest wall, in a way that it would do a long subcutaneous path using sternal edge to support and guide it.</p><p>The pathological examination confirmed <a href="/articles/breast-neoplasms">breast cancer</a> metastasis. </p>
Updates to Study Attributes
Chest CT scan shows a mass of soft tissue in anterior left intercostal space that had enhancement (previous study, not shown here). Core needle is positioned at a low angle with chest wall using sternal a sternal edge to support and guide a a safe path.
Image CT (non-contrast) ( update )
Image CT (non-contrast) ( update )
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