 Following a discussion of the procedure with the patient and/or family, including its risks, benefits, alternatives and steps to prevent infection, informed written consent was obtained and documented in the patient's chart. The time-out form was completed to confirm patient identity and side/type of procedure. All operators present for the case performed standard preprocedural prep including hand washing, sterile gloves, mask and cap. The patient was prepped and draped in the usual aseptic fashion. Local anesthesia over the target area was obtained by 1% lidocaine. Targeted ultrasound examination demonstrates a heterogeneous but predominantly hypoechoic irregular mass with internal septation and peripheral vascularity on Doppler interrogation within the left groin/thigh, corresponding to the findings of a soft tissue mass seen on recent MRI examination. Using ultrasound guidance a 16-gauge achieve core biopsy needle was advanced into the lesion. 4 16-gauge core biopsy specimens were obtained. 2 specimens were placed in formalin. One specimen was placed on a saline soaked Telfa pad. One specimen was placed in an anaerobic culture tube.The core biopsy specimens in formalin were hand carried to the Surgical Pathology lab. The remaining specimens were hand delivered to the clinical service.The patient tolerated the procedure well without immediate complication. Routine post procedure instructions were communicated to the patient.ESTIMATED BLOOD LOSS: Less than 5cc. An adhesive bandage was placed on the patient’s skin.
Ultrasound guided biopsy of left groin/thigh mass.