计算机断层扫描引导下经皮穿刺活检后胸壁植入胸腺癌

Chest wall implantation of thymic cancer after computed tomography-guided core needle biopsy.

作者信息

Matsumoto Keitarou, Ashizawa Kazuto, Tagawa Tsutomu, Nagayasu Takeshi

机构信息

Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.

出版信息

Eur J Cardiothorac Surg. 2007 Jul;32(1):171-3. doi: 10.1016/j.ejcts.2007.03.041. Epub 2007 Apr 30.

DOI:10.1016/j.ejcts.2007.03.041

PMID:17468005

Abstract

Percutaneous core needle biopsy is a useful procedure for diagnosing lung and mediastinal tumors. However, it has the potential to spread malignant cells from the tumor to the chest wall and pleural cavity. We report the case of a patient with thymic cancer who developed a metastatic tumor at the transthoracic needle biopsy site following a curative resection. The patient underwent an additional chest wall resection, but she developed recurrence in the pleural cavity 1 month after the second operation. The risk of tumor implantation and the related complications that can occur with transthoracic needle biopsy should be considered in patients with a malignant tumor. The indications for transthoracic needle biopsy should be restricted.

摘要

经皮芯针活检是诊断肺和纵隔肿瘤的一种有用方法。然而，它有可能将肿瘤中的恶性细胞扩散到胸壁和胸腔。我们报告了一例胸腺癌患者，在根治性切除术后，经胸针吸活检部位出现了转移瘤。该患者接受了额外的胸壁切除术，但在第二次手术后1个月，她的胸腔出现了复发。对于患有恶性肿瘤的患者，应考虑经胸针吸活检可能发生的肿瘤种植风险及相关并发症。经胸针吸活检的适应证应受到限制。