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Published in: CardioVascular and Interventional Radiology 1/2017

01-01-2017 | Case Report

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

Authors: Scott M. Thompson, Krzysztof R. Gorny, Danielle E. Jondal, Karen L. Rech, Samir Mardini, David A. Woodrum

Published in: CardioVascular and Interventional Radiology | Issue 1/2017

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Abstract

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.
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Metadata
Title
MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma
Authors
Scott M. Thompson
Krzysztof R. Gorny
Danielle E. Jondal
Karen L. Rech
Samir Mardini
David A. Woodrum
Publication date
01-01-2017
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 1/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1464-5

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