MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma

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• 作者：Scott M. Thompson ; Krzysztof R. Gorny…
• 关键词：MRI ; guided ; Wire localization ; Biopsy ; Lymphoma ; Pediatric
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：40
• 期：1
• 页码：135-138
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Imaging / Radiology; Cardiology; Nuclear Medicine; Ultrasound;
• 出版者：Springer US
• ISSN：1432-086X
• 卷排序：40

文摘

A 17-year-old previously healthy female presented with a progressive soft tissue infiltrative process involving the neck and thorax. Extensive diagnostic evaluation including multiple imaging, laboratory, and biopsy studies was nondiagnostic. Due to an urgent need to establish a diagnosis and several previous nondiagnostic biopsies, she was referred to interventional radiology for MRI-guided wire localization immediately prior to open surgical biopsy. Under general anesthesia, wires were placed in the areas of increased T2 signal within the bilateral splenius capitis muscles using intermittent MRI-guidance followed by immediate surgical biopsy down to the wires. Pathology confirmed the diagnosis of diffuse large B-cell lymphoma.