 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 large heterogeneous mass along the medial aspect of the proximal right thigh corresponding to the findings seen on recent MRI and ultrasound examination. There is minimal, if any, peripheral vascularity on Doppler interrogation. There are multiple thin internal septations identified within the lesion. Using ultrasound guidance, a 16-gauge Achieve core biopsy needle was advanced into the lesion which appears to correspond to the area of enhancement on recent MRI examination. Five 16-gauge core biopsy specimens were obtained and placed in formalin. Approximately 10 cc's of gelatinous material were aspirated from the lesion and placed in a sterile cup.The core biopsy specimens and aspirate were hand carried to the Surgical Pathology labThe 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 right thigh mass.