Fry W A, Siddiqui A, Pensler J M, Mostafavi H
Department of Surgery, Evanston Hospital, Northwestern University Medical School, Illinois.
Ann Thorac Surg. 1995 Jan;59(1):42-5. doi: 10.1016/0003-4975(94)00794-8.
A case is presented in which an indeterminate lung lesion was extracted through an accessory incision during a video-assisted thoracic surgical lung biopsy. The lesion was malignant, and a completion lobectomy was performed. An incisional recurrence developed 5 months later, and this was treated with a wide chest wall resection and reconstruction. However, there was a second massive chest wall recurrence that proved fatal. We believe that tumor seeding to the chest wall occurred at thoracoscopy. To prevent such tumor seeding, thoracoscopic biopsy specimens should be removed in some sort of receptacle when cancer is suspected.
本文报告了一例病例，在电视辅助胸腔镜肺活检术中通过辅助切口取出了一个性质不明的肺部病变。该病变为恶性，随后进行了肺叶切除术。5个月后出现切口复发，通过广泛的胸壁切除和重建进行治疗。然而，出现了第二次严重的胸壁复发，最终导致死亡。我们认为胸壁种植是在胸腔镜检查时发生的。为防止此类肿瘤种植，当怀疑为癌症时，胸腔镜活检标本应放在某种容器中取出。
