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

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.

Authors:
; ;  [1];  [2];  [3];  [4]
  1. Mayo Clinic College of Medicine, Department of Radiology (United States)
  2. Mayo Clinic College of Medicine, Department of Laboratory Medicine and Pathology (United States)
  3. Mayo Clinic College of Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery (United States)
  4. Mayo Clinic College of Medicine, Division of Vascular and Interventional Radiology, Department of Radiology (United States)
Publication Date:
OSTI Identifier:
22645361
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 1; Conference: BSIR 2016: Britisch Society of Interventional Radiology 2016 annual meeting, Manchester (United Kingdom), 15-17 Nov 2016; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ADOLESCENTS; ANESTHESIA; ANIMAL TISSUES; BIOMEDICAL RADIOGRAPHY; BIOPSY; CHEST; DIAGNOSIS; EVALUATION; LYMPHOMAS; MUSCLES; NECK; NMR IMAGING; PATHOLOGY; PATIENTS; PLANT TISSUES; SURGERY; WIRES

Citation Formats

Thompson, Scott M., E-mail: Thompson.scott@mayo.edu, Gorny, Krzysztof R., Jondal, Danielle E., Rech, Karen L., Mardini, Samir, and Woodrum, David A.. MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1464-5.
Thompson, Scott M., E-mail: Thompson.scott@mayo.edu, Gorny, Krzysztof R., Jondal, Danielle E., Rech, Karen L., Mardini, Samir, & Woodrum, David A.. MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma. United States. doi:10.1007/S00270-016-1464-5.
Thompson, Scott M., E-mail: Thompson.scott@mayo.edu, Gorny, Krzysztof R., Jondal, Danielle E., Rech, Karen L., Mardini, Samir, and Woodrum, David A.. Sun . "MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma". United States. doi:10.1007/S00270-016-1464-5.
@article{osti_22645361,
title = {MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma},
author = {Thompson, Scott M., E-mail: Thompson.scott@mayo.edu and Gorny, Krzysztof R. and Jondal, Danielle E. and Rech, Karen L. and Mardini, Samir and Woodrum, David A.},
abstractNote = {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.},
doi = {10.1007/S00270-016-1464-5},
journal = {Cardiovascular and Interventional Radiology},
number = 1,
volume = 40,
place = {United States},
year = {Sun Jan 15 00:00:00 EST 2017},
month = {Sun Jan 15 00:00:00 EST 2017}
}