Korean J Urol.  2015 Sep;56(9):666-669. 10.4111/kju.2015.56.9.666.

Needle tract seeding following percutaneous biopsy of renal cell carcinoma

Affiliations
  • 1Department of Urology, Rockingham General Hospital, Perth, Australia. Dwayne.Chang@health.wa.gov.au

Abstract

A 66-year-old man underwent computed tomography-guided needle biopsy of a suspicious renal mass. Two months later he underwent partial nephrectomy. Histology revealed a 30-mm clear cell renal cell carcinoma, up to Fuhrman grade 3. An area of the capsule was interrupted, which corresponded to a hemorrhagic area on the cortical surface. Under microscopy, this area showed a tongue of tumor tissue protruding through the renal capsule. A tumor deposit was found in the perinephric fat. These features suggest that tumor seeding may have occurred during the needle biopsy.

Keyword

Biopsy; Carcinoma; Histology; Neoplasm seeding

MeSH Terms

Adipose Tissue/*pathology
Aged
Biopsy, Needle/*adverse effects
Carcinoma, Renal Cell/*secondary/surgery
Humans
Image-Guided Biopsy/adverse effects
Kidney/*pathology
Kidney Neoplasms/*pathology/surgery
Male
*Neoplasm Seeding
Soft Tissue Neoplasms/*secondary

Figure

  • Fig. 1 Solid 32-mm right lower pole renal mass seen on computed tomography scan.

  • Fig. 2 Computed tomography-guided biopsy of the right renal mass.

  • Fig. 3 (A) Tongue of tumor tissue extending into the perinephric fat through an interruption on the renal capsule. (B) Superimposed 16-gauge Temno core biopsy needle (CareFusion, San Diego, CA, USA) over the site of interruption on the renal capsule. H&E stain, ×4.


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