Zhao Rong, Xing Jun, Gao Jinnan
Department of Breast Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
Front Surg. 2022 Apr 26;9:890492. doi: 10.3389/fsurg.2022.890492. eCollection 2022.
Needle tract metastasis is a rare complication following percutaneous procedures for malignancy.
This report describes a 49-year-old female with a lump on her right breast. Mass core needle biopsy showed the specimen was an invasive carcinoma, and mastectomy with sentinel lymph node biopsy was performed. What is special about this case was that the patient reported a history of lung cancer and the position of the breast mass was the puncture site of computed tomography-guided core needle biopsy for lung cancer. Immunostaining of paraffin specimen findings indicated the breast mass as a result of lung carcinoma metastasis. The patient's medical history indicated that the malignant tumor in the breast was a core needle tract pulmonary metastasis. The patient underwent the examination and received therapy based on the lung cancer metastasis principle. At 9 months from breast surgery, the patient is alive, in good condition, and with stability of the disease.
This patient was misdiagnosed. Careful medical history review and multidisciplinary team discussions are important, especially for patients with a history of cancer or invasive operation.
针道转移是恶性肿瘤经皮操作后罕见的并发症。
本报告描述了一名49岁右乳有肿块的女性。肿块粗针活检显示标本为浸润性癌，遂行乳房切除术及前哨淋巴结活检。该病例的特殊之处在于，患者有肺癌病史，且乳房肿块位置为肺癌计算机断层扫描引导下粗针活检的穿刺部位。石蜡标本免疫染色结果表明乳房肿块为肺癌转移所致。患者病史提示乳房恶性肿瘤为粗针针道肺转移。患者根据肺癌转移原则接受了检查和治疗。乳房手术后9个月，患者存活，情况良好，病情稳定。
该患者被误诊。仔细回顾病史并进行多学科团队讨论很重要，尤其是对于有癌症病史或有创手术史的患者。
