Needle Tract Implantation of Hepatocellular Carcinoma After Fine Needle Biopsy

[Guest guest]

Dig Dis Sci. 2006 Dec 7; [Epub ahead of print]

Needle Tract Implantation of Hepatocellular Carcinoma After Fine Needle

Biopsy.

Liu YW, Chen CL, Chen YS, Wang CC, Wang SH, Lin CC.

Department of Surgery and Liver Transplant Program, Chang Gung University,

Chang Gung Memorial Hospital, Kaohsiung Medical Center 123, Ta-Pei Road,

Niao-Sung, Kaohsiung, 83301, Taiwan, clchen@....

The reported incidence of needle tract implantation of hepatocellular

carcinoma after fine needle biopsy ranges from 1 to 5%. We collected five

cases of hepatocellular carcinoma with needle tract implantation after

percutaneous biopsy and tried to determine how this complication affects the

clinical outcome. From September 1997 to May 2002, five patients with needle

tract implantation of hepatocellular carcinoma were managed in our

institution. For treatment of the primary hepatocellular carcinoma, three

patients underwent hepatectomy, one had transarterial chemoembolization, and

in one patient peritoneal seeding in the needle tract precluded curative

resection. All three hepatectomy patients were detected to have tumor

implants in the needle tract at an interval of 39 to 58 months after biopsy.

These implants were managed with wide surgical excision. Local control was

achieved in two patients after repeat resection, whereas the third developed

pulmonary metastasis. Thus, in two of five patients, tract implantation

after fine needle biopsy changed a potentially curative disease into an

untreatable situation. Because of the risk of tumor implantation in the

needle tract, we support a policy of selective use of fine needle biopsy for

the definitive diagnosis of liver lesions. The patients who do need a biopsy

should be carefully followed up for early detection of implanted tumor and

its recurrence after resection.

PMID: 17151805 [PubMed - as supplied by publisher]

_________________________________________________________________

WIN up to $10,000 in cash or prizes – enter the Microsoft Office Live

Sweepstakes http://clk.atdmt.com/MRT/go/aub0050001581mrt/direct/01/

[Guest guest]

Dig Dis Sci. 2006 Dec 7; [Epub ahead of print]

Needle Tract Implantation of Hepatocellular Carcinoma After Fine Needle

Biopsy.

Liu YW, Chen CL, Chen YS, Wang CC, Wang SH, Lin CC.

Department of Surgery and Liver Transplant Program, Chang Gung University,

Chang Gung Memorial Hospital, Kaohsiung Medical Center 123, Ta-Pei Road,

Niao-Sung, Kaohsiung, 83301, Taiwan, clchen@....

The reported incidence of needle tract implantation of hepatocellular

carcinoma after fine needle biopsy ranges from 1 to 5%. We collected five

cases of hepatocellular carcinoma with needle tract implantation after

percutaneous biopsy and tried to determine how this complication affects the

clinical outcome. From September 1997 to May 2002, five patients with needle

tract implantation of hepatocellular carcinoma were managed in our

institution. For treatment of the primary hepatocellular carcinoma, three

patients underwent hepatectomy, one had transarterial chemoembolization, and

in one patient peritoneal seeding in the needle tract precluded curative

resection. All three hepatectomy patients were detected to have tumor

implants in the needle tract at an interval of 39 to 58 months after biopsy.

These implants were managed with wide surgical excision. Local control was

achieved in two patients after repeat resection, whereas the third developed

pulmonary metastasis. Thus, in two of five patients, tract implantation

after fine needle biopsy changed a potentially curative disease into an

untreatable situation. Because of the risk of tumor implantation in the

needle tract, we support a policy of selective use of fine needle biopsy for

the definitive diagnosis of liver lesions. The patients who do need a biopsy

should be carefully followed up for early detection of implanted tumor and

its recurrence after resection.

PMID: 17151805 [PubMed - as supplied by publisher]

_________________________________________________________________

WIN up to $10,000 in cash or prizes – enter the Microsoft Office Live

Sweepstakes http://clk.atdmt.com/MRT/go/aub0050001581mrt/direct/01/