CT-Guided Percutaneous Fine-Needle Aspiration Biopsy of the Inferior Vena Cava Wall: A Posterior Coaxial Approach

被引：3

作者：

Kos, Sebastian ^{[1
]}

Bilecen, Deniz ^{[1
]}

Baumhoer, Daniel ^{[2
]}

Guillaume, Nicolas ^{[3
]}

Jacob, Augustinus L. ^{[1
]}

机构：

[1] Univ Basel Hosp, Inst Radiol, CH-4031 Basel, Switzerland

[2] Univ Basel Hosp, Inst Pathol, CH-4031 Basel, Switzerland

[3] Univ Basel Hosp, Inst Nucl Med, CH-4031 Basel, Switzerland

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2010年 / 33卷 / 01期

关键词：

Inferior vena cava; Metastasis; Coaxial FNA; CT guided; LEIOMYOSARCOMA; LUNG; TTF1;

D O I：

10.1007/s00270-009-9523-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 72-year-old man was referred to our department with an incidentally diagnosed bronchogenic carcinoma of the right upper lobe. Positron emission tomography (PET) combined with computed tomography (PET-CT) revealed an unexpected hot spot in the ventral wall of the infrarenal segment of the inferior vena cava (IVC). Diagnostic biopsy of this lesion was performed under CT guidance with semiautomated 20G fine-needle aspiration (FNA) through a 19G coaxial needle. Cytology revealed few carcinoma cells, which led to the remarkable diagnosis of a distant metastasis to the IVC wall. Both the immediate postinterventional CT control and the further surveillance period of the patient were unremarkable; in particular, no signs of bleeding complications were detected. We conclude that coaxial FNA of an IVC wall lesion is technically feasible and may even help diagnose distant metastasis.

引用

页码：209 / 212

页数：4

共 12 条

[1] Primary leiomyosarcoma of the inferior vena cava - Report of a case diagnosed by fine needle aspiration cytology and confirmed by histopathologic examination [J].

Al-Rikabi, Ammar ;

Hussain, Abdul Azim ;

Buchler, Markus ;

Al-Muzrakchi, Ahmed ;

Jyothi, Chelakara Ramaswamy .

ACTA CYTOLOGICA, 2007, 51 (03) :477-479

[2]

Burke Allen P., 1995, P729

[3] Imaging Primary and Secondary Tumor Thrombus of the Inferior Vena Cava: Multi-Detector Computed Tomography and Magnetic Resonance Imaging [J].

Cuevas, Carlos ;

Raske, Molly ;

Bush, William H. ;

Takayama, Thomas ;

Maki, Jeffrey H. ;

Kolokythas, Orpheus ;

Meshberg, Emily .

CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY, 2006, 35 (03) :90-101

[4] TUMOR THROMBUS OF THE INFERIOR VENA-CAVA SECONDARY TO MALIGNANT ABDOMINAL NEOPLASMS - US AND CT EVALUATION [J].

DIDIER, D ;

RACLE, A ;

ETIEVENT, JP ;

WEILL, F .

RADIOLOGY, 1987, 162 (01) :83-89

[5]

Hilliard Nicholaus J, 2005, Ann Diagn Pathol, V9, P259, DOI 10.1016/j.anndiagpath.2005.05.001

[6] Leiomyosarcoma of the inferior vena cava, diagnosis by endoscopic ultrasound-guided fine-needle aspiration biopsy [J].

Jenssen, C. ;

Siebert, C. ;

Bartho, S. .

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2008, 133 (15) :769-772

[7] When coughing can cause stroke - A case-based update on cerebral air embolism complicating biopsy of the lung [J].

Kau, Thomas ;

Rabitsch, Egon ;

Celedin, Stefan ;

Habernig, Sandra M. ;

Weber, Joerg R. ;

Hausegger, Klaus A. .

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2008, 31 (05) :848-853

[8] TTF1 expression in non-small cell lung carcinoma: association with TTF1 gene amplification and improved survival [J].

Perner, S. ;

Wagner, P. L. ;

Soltermann, A. ;

LaFargue, C. ;

Tischler, V. ;

Weir, B. A. ;

Weder, W. ;

Meyerson, M. ;

Giordano, T. J. ;

Moch, H. ;

Rubin, M. A. .

JOURNAL OF PATHOLOGY, 2009, 217 (01) :65-72

[9] Is TTF1 a good immunohistochemical marker to distinguish primary from metastatic lung adenocarcinomas? [J].

Reis, JS ;

Carrilho, C ;

Valenti, C ;

Leitao, D ;

Ribeiro, CA ;

Ribeiro, SGA ;

Schmitt, FC .

PATHOLOGY RESEARCH AND PRACTICE, 2000, 196 (12) :835-840

[10]

Sheikh M, 2000, Australas Radiol, V44, P155, DOI 10.1046/j.1440-1673.2000.00799.x

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