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[结肠腺癌肝转移灶经皮细针穿刺道的皮下种植]

[Subcutaneous seeding on the tract of percutaneous cytologic puncture with a fine needle of a hepatic metastasis from colonic adenocarcinoma].

作者信息

Abdelli N, Bouche O, Thiefin G, Renard P, Flament J B, Zeitoun P

机构信息

Service d'Hépato-Gastroentérologie, Hôpital Robert-Debré, CHU, Reims.

出版信息

Gastroenterol Clin Biol. 1994;18(6-7):652-6.

PMID:7875424
Abstract

Subcutaneous seeding after percutaneous ultrasonically guided fine needle aspiration of liver tumours is a rare complication and only a few cases have been reported. We report a new case of cutaneous implantation following a fine needle (21.5 gauge of external diameter) aspiration biopsy of a superficial colonic liver metastasis, as shown by a subcutaneous nodule and increased serum carcinoembryonnary-antigen. We discuss the risk factors of this rare complication, especially the thickness of the liver parenchyma along the needle tract and precautions which can be taken for prevention.

摘要

经皮超声引导下肝肿瘤细针穿刺后皮下种植是一种罕见的并发症,仅有少数病例报道。我们报告1例浅表性结肠肝转移瘤经外径21.5号细针穿刺活检后发生皮肤种植的新病例,表现为皮下结节及血清癌胚抗原升高。我们讨论了这种罕见并发症的危险因素,尤其是针道沿线肝实质的厚度,以及可采取的预防措施。

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