[Subcutaneous seeding on the tract of percutaneous cytologic puncture with a fine needle of a hepatic metastasis from colonic adenocarcinoma].
Subcutaneous seeding after percutaneous ultrasonically guided fine needle aspiration of liver tumours is a rare complication and only a few cases have been reported. We report a new case of cutaneous implantation following a fine needle (21.5 gauge of external diameter) aspiration biopsy of a superficial colonic liver metastasis, as shown by a subcutaneous nodule and increased serum carcinoembryonnary-antigen. We discuss the risk factors of this rare complication, especially the thickness of the liver parenchyma along the needle tract and precautions which can be taken for prevention.
Abdelli
N
N
Service d'Hépato-Gastroentérologie, Hôpital Robert-Debré, CHU, Reims.
Bouche
O
O
Thiefin
G
G
Renard
P
P
Flament
J B
JB
Zeitoun
P
P
D000230:Adenocarcinoma / Q000473:pathology*; D001707:Biopsy, Needle / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology* / Q000556:secondary; D008875:Middle Aged; D009366:Neoplasm Seeding; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Essaimage sous-cutané sur le trajet d'une ponction cytologique percutanée à l'aiguille fine d'une métastase hépatique d'un adénocarcinome colique.