Document Detail


Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma.
MedLine Citation:
PMID:  18204759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a hepatocellular carcinoma seeding following needle biopsy in a 57-year-old man who first presented with a focal hepatic lesion at another hospital. The patient had been a hepatitis B carrier for 20 years. Initial surveillance ultrasonography showed a lesion in segment IV, in the background of non-cirrhotic liver and normal serum alpha-foetoprotein level (8 ng/ml). A percutaneous needle biopsy was done and histopathology confirmed well-differentiated hepatocellular carcinoma. The patient had refused surgery and preferred to try traditional medicine. He presented to us four months after the initial biopsy with epigastric swelling. This was found to be due to a tumour seeding along the previous biopsy tract. He was given radiofrequency ablation (RFA) of tumour along the needle tract, in addition to the primary tumour. We conclude that the need for percutaneous needle biopsy should be critically evaluated in patients presenting with focal hepatic lesions and the role of RFA in treating tumour seeding needs further evaluation.
Authors:
C S Qua; C H Wong; K L Goh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  49     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-21     Completed Date:  2008-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e8-11     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Department of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur 50503, Malaysia. csqua1@tm.net.my
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MeSH Terms
Descriptor/Qualifier:
Biopsy
Biopsy, Needle / adverse effects*,  methods*
Carcinoma, Hepatocellular / etiology*
Humans
Liver Neoplasms / etiology*
Male
Middle Aged
Neoplasm Seeding*
Radiography, Interventional
Tomography, X-Ray Computed
Ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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