Chest wall implantation of lung cancer after thin-needle aspiration biopsy

Seyfer, Alan E.; Walsh, Douglas S.; Graeber, Geoffrey M.; Nuno, Ismael N.; Eliasson, Arn H.

doi:10.1016/0003-4975(89)90091-x

Cited by 75 publications

(30 citation statements)

References 7 publications

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“…3 En-bloc wide excision of the tumor nodules, including the surrounding tissues has been successfully used to treat needle tract seeding. 22,33 Aggressive local treatment comprising of wide excision and radiotherapy has been shown to be effective in case of recurrence of needle tract seeding following wide excision. 47 Application of radiofrequency (RF) pulses to sterilize the tract and to denature any malignant cells may prevent tumor dissemination.…”

Section: Influence On Clinical Outcomementioning

confidence: 99%

Needle tract seeding: An avoidable complication

Tyagi

Dey

2014

Diagnostic Cytopathology

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Needle tract seeding refers to implantation of tumor cells by contamination when instruments like biopsy needles are used to examine, excise or ablate a tumor. Implantation along needle tract may lead to change of stage of the tumor, converting a resectable tumor into an inoperable one. In this paper we have reviewed the cases of needle tract seeding due to fine needle aspiration cytology (FNAC) procedure. We analyzed the various aspects of needle tract seedling and suggested how to take precautionary measures to prevent it.

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Section: Influence On Clinical Outcomementioning

confidence: 99%

Needle tract seeding: An avoidable complication

Tyagi

Dey

2014

Diagnostic Cytopathology

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“…One factor that potentially limits the diagnostic accuracy of the standard bronchoscope is lesion size, as lesions v2 cm have very low yields ranging 11-42% [6][7][8][9][10]. Some respiratory physicians prefer to diagnose small PPLs from tissue samples obtained by percutaneous needle aspiration cytology or biopsy [11][12][13][14][15]. Although success rates of these techniques might be very high, with 76-97% diagnostic accuracy [6,15], these techniques have several problems.…”

mentioning

confidence: 99%

“…Although success rates of these techniques might be very high, with 76-97% diagnostic accuracy [6,15], these techniques have several problems. First, they have the potential to spread malignant cells from the tumour into the pleural cavity [11,12]. For patients with poor pulmonary function, these techniques result in an increased risk of pneumothorax.…”

mentioning

confidence: 99%

Endobronchial ultrasonography with guide-sheath for peripheral pulmonary lesions

Kikuchi

Yamazaki

Sukoh³

et al. 2004

European Respiratory Journal

193

155

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The usefulness of endobronchial ultrasonography (EBUS) with guidesheath (GS) as a guide for transbronchial biopsy (TBB) for diagnosing peripheral pulmonary lesions (PPL)s and for improving diagnostic accuracy was evaluated in this study.EBUS-GS-guided TBB was performed in 24 patients with 24 PPLs of f30 mm in diameter (average diameter=18.4 mm). A 20-MHz radial-type ultrasound probe, covered with GS was inserted via a working bronchoscope channel and advanced to the PPL in order to produce an EBUS image. The probe with the GS was confirmed to reach the lesion by EBUS imaging and X-ray fluoroscopy. When the lesion was not identified on the EBUS image, the probe was removed and a curette was used to lead the GS to the lesion. After localising the lesion, the probe was removed, and TBB and bronchial brushing were performed via the GS.Nineteen peripheral lesions (79.2%) were visualised by EBUS. All patients whose PPLs were visible on EBUS images subsequently underwent an EBUS-GS-guided diagnostic procedure. A total of 14 lesions (58.3%) were diagnosed. Even when restricted to PPLs v20 mm in diameter, the diagnostic sensitivity was 53%.In conclusion, endobronchial ultrasonography with guide sheath-guided transbronchial biopsy was feasible and effective for diagnosing peripheral pulmonary lesions.

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“…In our case, recurrence was most likely to result from tumor seeding of the tract as the port was removed. It is worth noting that there have also been isolated reports of possible tumor implantation following fine-needle aspiration biopsy [13,16].…”

Section: Discussionmentioning

confidence: 99%

Port-site recurrence following video-assisted thoracoscopic surgery

Yim

1995

Surg Endosc

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Video-assisted thoracoscopic surgery (VATS) is an established modality in the management of pleural diseases. We report a case of port-site recurrence following management of malignant pleural effusion in an elderly patient with extensive pleural metastasis from adenocarcinoma of the lung. Although her shortness of breath was relieved following VAT decortication and talc insufflation, at 3 months she was found to have a 2.5-cm subcutaneous nodule at the camera port site which on biopsy was confirmed to be metastatic in nature. Even though the nodule was asymptomatic and the patient prognosis was not affected, it is important that both the surgeon and future patients should be aware of this potential complication.

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Chest wall implantation of lung cancer after thin-needle aspiration biopsy

Cited by 75 publications

References 7 publications

Needle tract seeding: An avoidable complication

Needle tract seeding: An avoidable complication

Endobronchial ultrasonography with guide-sheath for peripheral pulmonary lesions

Port-site recurrence following video-assisted thoracoscopic surgery

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