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

• Chang DT
• Sur H
• Lozinskiy
• Wallace DM

• KMID: 2344106
• DOI: http://doi.org/10.4111/kju.2015.56.9.666

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.

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

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  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.

Reference

1. Smith EH. Complications of percutaneous abdominal fine-needle biopsy: review. Radiology. 1991; 178:253–258.

2. Shenoy PD, Lakhkar BN, Ghosh MK, Patil UD. Cutaneous seeding of renal carcinoma by Chiba needle aspiration biopsy: case report. Acta Radiol. 1991; 32:50–52.

3. Kiser GC, Totonchy M, Barry JM. Needle tract seeding after percutaneous renal adenocarcinoma aspiration. J Urol. 1986; 136:1292–1293.

4. Abe M, Saitoh M. Selective renal tumour biopsy under ultrasonic guidance. Br J Urol. 1992; 70:7–11.

5. Volpe A, Kachura JR, Geddie WR, Evans AJ, Gharajeh A, Saravanan A, et al. Techniques, safety and accuracy of sampling of renal tumors by fine needle aspiration and core biopsy. J Urol. 2007; 178:379–386.

6. Gibbons RP, Bush WH Jr, Burnett LL. Needle tract seeding following aspiration of renal cell carcinoma. J Urol. 1977; 118:865–867.

7. Auvert J, Abbou CC, Lavarenne V. Needle tract seeding following puncture of renal oncocytoma. Prog Clin Biol Res. 1982; 100:597–598.

8. Wehle MJ, Grabstald H. Contraindications to needle aspiration of a solid renal mass: tumor dissemination by renal needle aspiration. J Urol. 1986; 136:446–448.

9. Giorgadze T, Qureshi F, Aulicino M, Jacques SM. Retroperitoneal recurrence of a stage 1 renal cell carcinoma four years following core biopsy and fine needle aspiration: possible needle tract seeding. Diagn Cytopathol. 2013; 41:470–472.

10. Mullins JK, Rodriguez R. Renal cell carcinoma seeding of a percutaneous biopsy tract. Can Urol Assoc J. 2013; 7:E176–E179.