 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 demonstrates a cortically based lucent lesion within the proximal humeral metaphysis corresponding to the findings on recent MRI examination and radiographs. Using CT guidance, a 13 gauge OnControl biopsy needle was advanced into the lesion. One 13-gauge core biopsy specimen was obtained. A touch preparation was performed and handed to cytopathology to confirm specimen adequacy. The biopsy specimen was placed in formalin.The core biopsy specimen was 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 the right humerus.