Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report

Background: Transthoracic fine needle aspiration biopsy (FNAB) is an important diagnostic method in the evaluation of lung malignancies. The incidence of chest wall implantation metastases after FNAB is extremely rare. However, we report a case of cancer seeding along needle track after a CT-guided...

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Main Authors: Igor Požek, Aleš Rozman
Format: Article
Language:English
Published: Slovenian Medical Association 2010-09-01
Series:Zdravniški Vestnik
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/293
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author Igor Požek
Aleš Rozman
author_facet Igor Požek
Aleš Rozman
author_sort Igor Požek
collection DOAJ
description Background: Transthoracic fine needle aspiration biopsy (FNAB) is an important diagnostic method in the evaluation of lung malignancies. The incidence of chest wall implantation metastases after FNAB is extremely rare. However, we report a case of cancer seeding along needle track after a CT-guided transthoracic FNAB. Case report: We diagnosed squamous cell carcinoma of the lung, stage T3N0 in a 71-year old male, ex-smoker, by transthoracic FNAB. A small metastasis was discovered in the left humerus after PET-CT. The patient was treated by chemotherapy and irradiation of bone metastasis. Four months after initial evaluation we repeated CT scan of the thorax. A tumour progression with tumour growth from the primary site was found in the left upper lobe to the pectoral muscle along the needle biopsy track. Conclusions: Although the frequency of chestwall implantation metastasis after transthoracic FNAB of lung malignancies is very rare, attentive follow up is recommended. Early intervention with resection and irradiation is often curative in previously radically treated patients.
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spelling doaj.art-8824a3cb601a448fae0f7abf6794dc7c2022-12-22T00:25:07ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242010-09-01799185Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case reportIgor PožekAleš RozmanBackground: Transthoracic fine needle aspiration biopsy (FNAB) is an important diagnostic method in the evaluation of lung malignancies. The incidence of chest wall implantation metastases after FNAB is extremely rare. However, we report a case of cancer seeding along needle track after a CT-guided transthoracic FNAB. Case report: We diagnosed squamous cell carcinoma of the lung, stage T3N0 in a 71-year old male, ex-smoker, by transthoracic FNAB. A small metastasis was discovered in the left humerus after PET-CT. The patient was treated by chemotherapy and irradiation of bone metastasis. Four months after initial evaluation we repeated CT scan of the thorax. A tumour progression with tumour growth from the primary site was found in the left upper lobe to the pectoral muscle along the needle biopsy track. Conclusions: Although the frequency of chestwall implantation metastasis after transthoracic FNAB of lung malignancies is very rare, attentive follow up is recommended. Early intervention with resection and irradiation is often curative in previously radically treated patients.http://vestnik.szd.si/index.php/ZdravVest/article/view/293
spellingShingle Igor Požek
Aleš Rozman
Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report
Zdravniški Vestnik
title Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report
title_full Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report
title_fullStr Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report
title_full_unstemmed Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report
title_short Lung cancer seeding along needle track after CT guided transthoracic fine-needle aspiration biopsy - case report
title_sort lung cancer seeding along needle track after ct guided transthoracic fine needle aspiration biopsy case report
url http://vestnik.szd.si/index.php/ZdravVest/article/view/293
work_keys_str_mv AT igorpozek lungcancerseedingalongneedletrackafterctguidedtransthoracicfineneedleaspirationbiopsycasereport
AT alesrozman lungcancerseedingalongneedletrackafterctguidedtransthoracicfineneedleaspirationbiopsycasereport