 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 CT examination demonstrated a focal soft tissue mass within the lateral head of the gastrocnemius corresponding to the findings seen on recent MRI examination. Using CT guidance, an 18-gauge Achieve core biopsy needle was advanced into the lesion. Touch preparations were handed to cytopathology to confirm specimen adequacy. Two 18-gauge core needle biopsy specimens were obtained and placed in formalin.The core biopsy specimens 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.
CT guided biopsy of a lateral head of the right gastrocnemius muscle mass.