Hi everyone, I need advise on this case. Is an 8 years old Bull dog with possible lymphoma. Dog has a large mass at the level of the iliac lymph nodes, a hypoechoic liver, some nodular changes on the spleen and less dramatic enlarged mesenteric lymph nodes.
FNA of the large iliac lymph node came back inconclusive ( too much blood contamination) and the referring vet requested try-cut biopsy.
So… I am gonna tackle my very first US guided biopsy. Guess that being a 6 cm mass i should be able to stay within the limits.
Hi everyone, I need advise on this case. Is an 8 years old Bull dog with possible lymphoma. Dog has a large mass at the level of the iliac lymph nodes, a hypoechoic liver, some nodular changes on the spleen and less dramatic enlarged mesenteric lymph nodes.
FNA of the large iliac lymph node came back inconclusive ( too much blood contamination) and the referring vet requested try-cut biopsy.
So… I am gonna tackle my very first US guided biopsy. Guess that being a 6 cm mass i should be able to stay within the limits.
Of course will get a PT/PTT test before hand, and monitor for bleeding afterwards, and avoid “coloured” areas. Any other tip?
I was thinking a 14 G would be fine for this case ( dog is 14 kg)
Thanks for your input,
Silvana
Comments
16-18 g core bx should be
16-18 g core bx should be fine ad you have a good 5+ cm of depth to work with so this is a perfect starter bx for you. Re fna, often blood contamination can be resolved by going with a smaller gauge needle. If it looked bloody with a 22g g with a 24 or 25.
This page should help as well. Click here.
16-18 g core bx should be16-18 g core bx should be fine ad you have a good 5+ cm of depth to work with so this is a perfect starter bx for you. Re fna, often blood contamination can be resolved by going with a smaller gauge needle. If it looked bloody with a 22g g with a 24 or 25.
Thank you, Eric.
I did the
Thank you, Eric.
I did the biopsy with no complications. I found a bit hard to control the needle as it felt too long ( 15 cm). My next one is on a cat, so I think I will get a 18 g 7 cm length this time for easier handling.
Cheers,
Silvana
Thank you, Eric.
I did the
Thank you, Eric.
I did the biopsy with no complications. I found a bit hard to control the needle as it felt too long ( 15 cm). My next one is on a cat, so I think I will get a 18 g 7 cm length this time for easier handling.
Cheers,
Silvana
Excellent!! Wielding a needle
Excellent!! Wielding a needle successfully is essential in high level clinical sonography. It really separates the level of service from those that are confident with a needle as to those who are not. The client reads through lack of confidence quite well in my experience….Striving for needle prominence should be your next priority and sounds like you are off to a solid start:)
Excellent!! Wielding a needle
Excellent!! Wielding a needle successfully is essential in high level clinical sonography. It really separates the level of service from those that are confident with a needle as to those who are not. The client reads through lack of confidence quite well in my experience….Striving for needle prominence should be your next priority and sounds like you are off to a solid start:)