Page 552 - Withrow and MacEwen's Small Animal Clinical Oncology, 6th Edition
P. 552

530   PART IV    Specific Malignancies in the Small Animal Patient






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                 C                                             D
                          • Fig. 25.2  (A) The Jamshidi bone biopsy needle: cannula and screw-on cap (d), tapered point (b), pointed
                          stylet to advance cannula through soft tissues (c), and probe to expel specimen from cannula (d). (B)
                          With the stylet locked in place, the cannula is advanced through the soft tissue until bone is reached. The
                          inset is a close-up view showing stylet against bone cortex. (C) The stylet is removed and the bone cortex
                          penetrated with the cannula. The cannula is withdrawn and the procedure repeated with redirection of the
                          instrument to obtain multiple core samples. (D) The probe is then inserted retrograde into the tip of the can-
                          nula to expel the specimen through the base (inset). (Reprinted with permission from Powers BE, LaRue
                          SM, Withrow SJ, et al. J Am Vet Med Assoc. 1988; 193(2):206–207. 140 )
         examination,  but  careful  thoracic  auscultation  is  important  to   the assessment of pulmonary metastasis: a ventrodorsal or dorso-
         detect concurrent cardiopulmonary disorders.          ventral view and both right and left lateral views. OSA pulmonary
            High detail thoracic radiographs should be taken during   metastases are generally soft tissue dense and cannot be detected
         inspiration  in  a  conscious  patient.  Although  some  controversy   radiographically until the nodules are 7 to 9 mm in diameter.
         exists, 142  three-view thoracic radiographs are recommended for   Pulmonary metastasis is uncommon at the time of diagnosis
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