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Evaluation of Imaging-Guided Core Biopsy of Pelvic Masses

Sai G. Yarram1, Hanh V. Nghiem2, Ellen Higgins1, Giovanna Fox1, Bin Nan3 and Isaac R. Francis1

1 Department of Radiology, University of Michigan, 1500 E Medical Center Dr., UH B1 D530, Ann Arbor, MI 48109.
2 Department of Radiology, Beaumont Hospital, Royal Oak, MI.
3 Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI.


Figure 1
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Fig. 1A —49-year-old woman with history of colorectal adenocarcinoma and abdominoperineal resection with new presacral mass. Biopsy results confirmed clinical suspicion of recurrent malignant tumor. CT scan shows ill-defined large presacral mass (arrow).

 

Figure 2
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Fig. 1B —49-year-old woman with history of colorectal adenocarcinoma and abdominoperineal resection with new presacral mass. Biopsy results confirmed clinical suspicion of recurrent malignant tumor. CT scan shows biopsy needle inserted through posterior transgluteal approach.

 

Figure 3
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Fig. 2A —32-year-old woman with history of cervical cancer who had undergone total abdominal hysterectomy. Bimanual examination revealed new nodularity above vaginal cuff. Biopsy finding was recurrent cervical cancer. Transvaginal sonogram shows lobulated hypoechoic mass (arrow) above vaginal cuff.

 

Figure 4
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Fig. 2B —32-year-old woman with history of cervical cancer who had undergone total abdominal hysterectomy. Bimanual examination revealed new nodularity above vaginal cuff. Biopsy finding was recurrent cervical cancer. Sonogram shows site of biopsy through transvaginal approach.

 

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