CLINICAL HISTORY:

TECHNIQUE: Following the careful explanation of the potential risks and benefits of the procedure, oral and written informed consent was obtained. The patient was placed supine on the gurney.

Scout sonography of the left axilla and area of concern was performed to assess for a proper biopsy site. Local anesthesia was achieved with approximately 10ml of 1% lidocaine.

At this point a ultrasound unit was utilized to obtain multiple 20 gauge core biopsies through the lymph node under direct ultrasound guidance.

Manual pressure was applied until hemostasis was achieved. A sterile dressing was applied.

The patient tolerated the procedure well.

IMPRESSION:
Successful 20 gauge core biopsy of an enlarged 2 cm left axillary lymph node under Ultrasound Guidance.