Abdominal Wall Needle Tract Seeding: 15 Years After a Hepatocellular Carcinoma Biopsy

被引：0

作者：

Saldanha, Goncalo ^{[1
]}

Antunes, Sofia Carralas ^{[2
]}

Cruz, Joao ^{[1
]}

Ramalho, Miguel ^{[3
]}

机构：

[1] Hosp Garcia de Orta, Dept Radiol, Almada, Portugal

[2] Hosp Garcia de Orta, Dept Pathol, Almada, Portugal

[3] Hosp Luz, Dept Radiol, Lisbon, Portugal

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 05期

关键词：

magnetic resonance imaging; metastasis; needle tract seeding; liver biopsy; hepatocellular carcinoma; LIVER;

D O I：

10.7759/cureus.61131

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Percutaneous liver biopsy, although considered a safe procedure, can lead to tumoral needle tract seeding. We describe a case of a 65-year-old woman with a history of hepatocellular carcinoma (HCC) who presented with a painless abdominal lump 15 years post-liver biopsy and left hepatectomy. An MRI revealed an abdominal wall mass suggestive of HCC metastasis from needle tract seeding. Surgical removal confirmed a well-differentiated HCC. Distinctive imaging features of HCC in specific clinical settings reduce the need for biopsy, which should be limited to exceptional cases.

引用

页数：6

共 14 条

[11] AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma
Singal, Amit G.
Llovet, Josep M.
Yarchoan, Mark
Mehta, Neil
Heimbach, Julie K.
Dawson, Laura A.
Jou, Janice H.
Kulik, Laura M.
Agopian, Vatche G.
Marrero, Jorge A.
Mendiratta-Lala, Mishal
Brown, Daniel B.
Rilling, William S.
Goyal, Lipika
Wei, Alice C.
Taddei, Tamar H.
[J]. HEPATOLOGY, 2023, 78 (06) : 1922 - 1965
[12] Stigliano R, 2007, CANCER TREAT REV, V33, P437, DOI 10.1016/j.ctrv.2007.04.001
[13] Should we biopsy each liver mass suspicious for HCC before liver transplantation? No, please don't
Stigliano, R
Burroughs, AK
[J]. JOURNAL OF HEPATOLOGY, 2005, 43 (04) : 563 - 568
[14] Distinguishing well-differentiated hepatocellular carcinoma from benign liver by the physical features of fine-needle aspirates
Yang, GCH
Yang, GY
Tao, LC
[J]. MODERN PATHOLOGY, 2004, 17 (07) : 798 - 802

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