Abdelli N, Bouche O, Thiefin G, Renard P, Flament J B, Zeitoun P
Service d'Hépato-Gastroentérologie, Hôpital Robert-Debré, CHU, Reims.
Gastroenterol Clin Biol. 1994;18(6-7):652-6.
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.
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。
