Yonsei Med J.  1994 Sep;35(3):349-354. 10.3349/ymj.1994.35.3.349.

Chest wall implantation of carcinoma after fine needle aspiration biopsy

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, YongDong Severance Hospital, Yonsei University College of Medicine, Korea.
  • 2Department of Plastic Surgery, YongDong Severance Hospital, Yonsei University College of Medicine, Korea.
  • 3Department of Radiology, YongDong Severance Hospital, Yonsei University College of Medicine, Korea.
  • 4Department of Pathology, Ajou University College of Medicine, Korea.

Abstract

Implantation of malignant cells along the needle aspiration tract in patients with lung cancer is a rare but potential complication following percutaneous fine needle aspiration biopsy. Dissemination of cancer cells by aspiration biopsy can change resectable, potentially curable lung cancer to unresectable cancer. We report a 55 year male patient who underwent completion pneumonectomy due to squamous cell carcinoma and one cycle of chemotherapy. He developed outgrowing chest wall tumor at the site of needle aspiration biopsy performed prior to completion pneumonectomy and was pathologically diagnosed as metastatic squamous cell carcinoma. The lesion was successfully treated by radical full-thickness resection of the chest wall and reconstruction with latissimus dorsi musculocutaneous island flap.

Keyword

Needle biopsy; Metastasis; Lung neoplasm; Island flap

MeSH Terms

Biopsy, Needle/*adverse effects
Carcinoma, Squamous Cell/*secondary
Case Report
Human
Lung Neoplasms/*pathology
Male
Middle Age
*Neoplasm Seeding
Thoracic Neoplasms/*secondary

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