Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma
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 backgroun...
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Stamford Publishing Pte Ltd / Singapore Medical Association
2008
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| Online Access: | http://eprints.um.edu.my/970/ http://www.ncbi.nlm.nih.gov/pubmed/18204759 |
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| author | Qua, C.S. Wong, C.H. Goh, K.L. |
| author_facet | Qua, C.S. Wong, C.H. Goh, K.L. |
| author_sort | Qua, C.S. |
| building | UM Library |
| collection | Institutional Repository |
| content_provider | Universiti Malaya |
| content_source | UM Research Repository |
| continent | Asia |
| country | Malaysia |
| description | 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. |
| format | Article |
| id | my.um.eprints-970 |
| institution | Universiti Malaya |
| publishDate | 2008 |
| publisher | Stamford Publishing Pte Ltd / Singapore Medical Association |
| record_format | eprints |
| spelling | my.um.eprints-9702019-01-14T01:33:14Z http://eprints.um.edu.my/970/ Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma Qua, C.S. Wong, C.H. Goh, K.L. RD Surgery 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. Stamford Publishing Pte Ltd / Singapore Medical Association 2008-01 Article PeerReviewed Qua, C.S. and Wong, C.H. and Goh, K.L. (2008) Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma. Singapore Medical Journal, 49 (1). e8-11. ISSN 0037-5675, DOI 18204759. http://www.ncbi.nlm.nih.gov/pubmed/18204759 18204759 |
| spellingShingle | RD Surgery Qua, C.S. Wong, C.H. Goh, K.L. Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| title | Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| title_full | Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| title_fullStr | Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| title_full_unstemmed | Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| title_short | Tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| title_sort | tumour seeding following percutaneous needle biopsy of hepatocellular carcinoma |
| topic | RD Surgery |
| url | http://eprints.um.edu.my/970/ http://www.ncbi.nlm.nih.gov/pubmed/18204759 |
| url_provider | http://eprints.um.edu.my/ |