Long-term follow-up after neoplastic seeding complicating percutaneous ethanol injection for treatment of hepatocellular carcinoma.
We describe a case of subcutaneous metastasis along the needle track after percutaneous ethanol injection (PEI) for treatment of hepatocellular carcinoma. After surgical resection and extrabeam radiation therapy the patient is alive without evidence of recurrence five years after PEI. One should pay attention to the abdominal wall around the needle track in interpreting CT or MR images of patients with previous PEI.
Arrivé
L
L
Service de Radiologie, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint-Antoine, 75012 Paris, France. lionel.arrive@sat.ap-hop-paris.fr
Vurgait
A
A
Monnier-Cholley
L
L
Lewin
M
M
Balladur
P
P
Poupon
R
R
Tubiana
J M
JM
D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects; D006528:Carcinoma, Hepatocellular / Q000188:drug therapy / Q000556:secondary*; D000431:Ethanol / Q000008:administration & dosage*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000188:drug therapy / Q000473:pathology*; D009366:Neoplasm Seeding; D012878:Skin Neoplasms / Q000556:secondary*; D014057:Tomography, X-Ray Computed
D000431:Ethanol