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[经椎旁影像引导的腹膜后淋巴结病活检:一例报告]

[Retroperitoneal lymphadenopathy trans-vertebral image-guided biopsy: a case report].

作者信息

Rendon Fausto Omar, Del Valle Juan Baustista, Valeo Chulvi Melina Paula, Dalurzo Mercedes Liliana, Santino Juan Pablo, Borensztein Matías Adrián

机构信息

Hospital Italiano de Buenos Aires.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2022 Sep 16;79(3):289-293. doi: 10.31053/1853.0605.v79.n3.37308.

Abstract

INTRODUCTION

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.

摘要

引言

经皮骨穿刺活检能够对传统技术难以获取样本的病变进行取材。其应用避免了手术。

目的

介绍一例采用经椎骨途径进行腹膜后经皮穿刺活检的临床病例。并对该技术进行简要的文献复习。

病例

一名60岁女性,患有子宫内膜腺癌,有7个月的临床症状,表现为乏力和非特异性腰痛。发现腔静脉间主动脉旁淋巴结肿大。鉴于病变位置无法采用传统方法取材,遂决定行经椎骨病变活检。

结论

当研究其他方法无法触及的病变时,必须考虑采用该技术,且应由经过培训的专业人员进行操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd91/9590820/27dc4a7c8907/1853-0605-79-3-289-g001.jpg

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