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Doctor insights on: Biopsy Pancreas Percutaneous

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Hows stereotactic biopsy procedure done?

Hows stereotactic biopsy procedure done?

Computerized locati: The suspicious density, seen in x-ray but can not be felt , this area is located in two or more planes, marked, computer guided needle enters, at the marked site and takes biopsy, radio opaque, marker is placed for future reference, that biopsy was taken from correct location , then simple small dressing will be applied. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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What liver disease? alkphos548&650,gammaGT526&742,plasma ALT152.liver biopsy waiting results.Had xray,scans MRI.found polys,so gallbladder removed

What liver disease? alkphos548&650,gammaGT526&742,plasma ALT152.liver biopsy waiting results.Had xray,scans MRI.found polys,so gallbladder removed

Stump the chimp: Can't tell from the numbers. Lot's of diseases could do this. If we could tell from the numbers there would be no need to perform a biopsy. Biopsy should be definitive or narrow the list down dramatically. ...Read more

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Liver cyst on CT scan need biopsy?

Liver cyst on CT scan need biopsy?

Almost certainly not: Provided it is a 'simple cyst' which is a fluid filled sac. Sometimes if there is debris or septations as cyst may be aspirated. If you are asymptomatic and the lesion is a simple cyst, it's best left alone. ...Read more

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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Is liver biopsy painful?

Is liver biopsy painful?

It's not a bee sting: Despite using a local anesthetic, a liver biopsy is at best uncomfortable. A rather large gauge needle is used. Goes through the skin and muscle on the side of your abdomen and into the liver. Once there, the worse is over, pain wise. ...Read more

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My fil,68 yrs,biopsy report stating "well differentiated papillary adenocarcinoma" @ rectosigmoid junction. Dr suggests surgery -R we doing right ?

My fil,68 yrs,biopsy report stating "well differentiated papillary adenocarcinoma" @ rectosigmoid junction.  Dr suggests surgery  -R we doing right ?

Sounds right: With the limited information you have provided, it appears he has cancer of that portion of his colon. Surgery is usually the definitive treatment for such. Good luck. ...Read more

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HIDA -EF at 31, endoscopic us showed a stone in cystic duct, elevated liver enzymes, & nausea. Surgeon suggested surgery & IC. Can stone be removed?

HIDA -EF at 31, endoscopic us showed a stone in  cystic duct, elevated liver enzymes, & nausea.  Surgeon suggested surgery & IC.  Can stone be removed?

Cystic duct: The stone needs to come out or you risk a serious infection, developing. Laparoscopic removal of the gallbladder and the duct may be possible and has a shorter recovery. Your surgeon can advise you on this issue. ...Read more

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Can SIRT be done if 3 liver metastses and 3 peritineal nodules ?

Can SIRT be done if 3 liver metastses and 3 peritineal nodules ?

Need more info: Selective internal radiation therapy (SIRT) or radioembolization, has proven to be effective in terms of extending time to progression of disease and providing survival benefit in treatment of liver colorectal metastases. Patients who have failed systemic chemotherapy appear to benefit from this therapy. Concurrent use of Y-90 in first & second line chemotherapy is currently being investigated. ...Read more

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Does lung needle biopsy hurt?

Does  lung needle biopsy hurt?

Not if done right: Lungs have very few nerve endings within the lung. If done by a skilled doctor biopsy thru the skin (ie guide by a scanner) can cause pressure and a feeling of fullness but minimal pain. The level of discomfort relates to how accessible the nodule or mass is for the biopsy needle. ...Read more

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Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Both are accurate : Liver biopsies are performed for both focal liver lesions and nonfocal generalized liver disease playing a key role in the diagnosis and prognostication of various diffuse liver dysfunctions. Ct-guided procedures are generally reserved for tissue sampling of focal hepatic lesions, not accessible by ultrasound. ...Read more

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Is bone marrow biopsy done without anesthesia?

Is bone marrow biopsy done without anesthesia?

Just for children: Young children will generally be put to sleep. The rest will at least get local anesthesia which is like novacaine over the hip. ...Read more

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If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?

If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?

Experimental therapy: Some cancer centers do research on patients with aggressive cancers or cancers who do not respond to usual treatment. Although after chemotherapy, there are not very many options and people would like to keep patients as comfortable as possible. Hope it is helpful. ...Read more

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Can radio frequency ablation technique fully cure small malignent liver tumor?

Can radio frequency ablation technique fully cure small malignent liver tumor?

Radiofrequency ablat: For small tumors < 1.5 inches it can be effective 85% of the time https://www.radiologyinfo.org/en/info.cfm?pg=rfaliver ...Read more

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My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

See GI doctor: Looks like that she has sustained major liver damage from the alcohol. She needs the expert care of a GI doctor and is at risk for upper GI hemorrhage as well. ...Read more

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Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

See details: Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer. ...Read more

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Thoracocentesis and CT needle biopsy the same thing?

Thoracocentesis and CT needle biopsy the same thing?

See answer: Thoracocentesis is the procedure where a needle is used to “draw off / sample” fluid from the chest pleural space – for either diagnostic (fluid sent for cytology, culture, etc.) or therapeutic purposes (too much fluid causing compression). Ct biopsy is the procedure where a needle actually biopsies a specific organ to evaluate the target tissue. ...Read more

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What are the chances an ultrasound, Mri/mrcp, ercp, and ct scans or imaging miss advanced liver cancer?

What are the chances an  ultrasound, Mri/mrcp, ercp, and ct scans or imaging miss advanced liver cancer?

If it is tailored: For liver mass, and technically adequate(i.e. no artifacts that might obscure anatomy), it would be nearly impossible to miss a large liver tumor. ...Read more

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CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks

CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks

An MRI is next 2 try: 2 diagnose the growth. Next most likely would be a biopsy. If a needle biopsy is opted for it is done by a radiologist who has special training in interventional radiology. Another way is to have it done laparoscopically, the mass does not sound like it is excisable. Surgeon if needed is a general surgeon. ...Read more

Dr. Stephen Scholand
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


Dr. Sewa Legha
3 doctors shared insights

Pancreas (Definition)

Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more