Pleural seeding from hepatocellular carcinoma: a complication of percutaneous alcohol ablation.
The authors present a case of proved seeding of the pleural space secondary to alcohol ablation of a primary hepatocellular carcinoma. The patient underwent alcohol ablation for a 6.5-cm-diameter tumor in the right lobe of the liver; approximately 20 needle punctures were required to ensure complete or almost complete destruction of the tumor. Six months after the original ablation, a hypervascular pleural metastasis was noted adjacent to the original lesion at computed tomography. Percutaneous biopsy of the pleural lesion showed hepatocellular carcinoma.
Zerbey
A L
AL
Department of Radiology, Massachusetts General Hospital, Boston.
Mueller
P R
PR
Dawson
S L
SL
Hoover
H C
HC
D006528:Carcinoma, Hepatocellular / Q000556:secondary*; D000431:Ethanol / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D015552:Injections, Intralesional; D008113:Liver Neoplasms / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009339:Needles; D009366:Neoplasm Seeding; D010997:Pleural Neoplasms / Q000556:secondary*
D000431:Ethanol