Needle Tract Implantation of Hepatocellular Carcinoma and Pancreatic Carcinoma after Ultrasound‐guided Percutaneous Puncture: Clinical and Pathologic Characteristics and the Treatment of Needle Tract Implantation
Tumor implantation along the needle tract following percutaneous procedures under ultrasonographic guidance for hepatocellular carcinoma (HCC) and pancreatic carcinoma (PC) has been well documented. The purpose of the present study was to investigate the correlation between the procedure, the pathol...
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| Veröffentlicht in: | World journal of surgery 2004-01, Vol.28 (1), p.29-32 |
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| creator | Kosugi, Chihiro Furuse, Junji Ishii, Hiroshi Maru, Yasushi Yoshino, Masahiro Kinoshita, Taira Konishi, Masaru Nakagohri, Toshio Inoue, Kazuto Oda, Tatsuya |
| description | Tumor implantation along the needle tract following percutaneous procedures under ultrasonographic guidance for hepatocellular carcinoma (HCC) and pancreatic carcinoma (PC) has been well documented. The purpose of the present study was to investigate the correlation between the procedure, the pathologic differentiation of the primary tumor, and the treatment after implantation. Between July 1992 and March 2000, HCC patients (n = 372) who underwent biopsy, percutaneous ethanol injection (PEI) therapy and percutaneous microwave coagulation therapy (PMCT) and PC (n = 73) patients who underwent biopsy were retrospectively studied. Needle tract implantation was found in six of the HCC patients (1.6%) and one of the PC patients (1.4%). The interval to diagnosis ranged from 5 to 25 months (mean ± SD 11.2 ± 7.6 months) in the HCC patients. The needle tract implantation was evident for all procedure types in these patients (two after PEI alone, two after both biopsy and PEI, and one after PMCT) and for each degree of pathologic differentiation of the primary tumors (well differentiated in one, moderately differentiated in two, and poorly differentiated in one). Each implanted tumor was surgically resected, with no recurrence at the focal lesion. These results suggest that needle tract implantation develops regardless of the procedure or the pathologic differentiation of the primary tumor, and that surgical resection might be effective for controlling these implanted lesions. |
| doi_str_mv | 10.1007/s00268-003-7003-y |
| format | Article |
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The purpose of the present study was to investigate the correlation between the procedure, the pathologic differentiation of the primary tumor, and the treatment after implantation. Between July 1992 and March 2000, HCC patients (n = 372) who underwent biopsy, percutaneous ethanol injection (PEI) therapy and percutaneous microwave coagulation therapy (PMCT) and PC (n = 73) patients who underwent biopsy were retrospectively studied. Needle tract implantation was found in six of the HCC patients (1.6%) and one of the PC patients (1.4%). The interval to diagnosis ranged from 5 to 25 months (mean ± SD 11.2 ± 7.6 months) in the HCC patients. The needle tract implantation was evident for all procedure types in these patients (two after PEI alone, two after both biopsy and PEI, and one after PMCT) and for each degree of pathologic differentiation of the primary tumors (well differentiated in one, moderately differentiated in two, and poorly differentiated in one). Each implanted tumor was surgically resected, with no recurrence at the focal lesion. These results suggest that needle tract implantation develops regardless of the procedure or the pathologic differentiation of the primary tumor, and that surgical resection might be effective for controlling these implanted lesions.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-003-7003-y</identifier><identifier>PMID: 14648043</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer‐Verlag</publisher><subject>Biological and medical sciences ; Carcinoma, Hepatocellular - diagnostic imaging ; Carcinoma, Hepatocellular - pathology ; Carcinoma, Hepatocellular - therapy ; Dynamic Compute Tomography ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Humans ; Liver Neoplasms - diagnostic imaging ; Liver Neoplasms - pathology ; Liver Neoplasms - therapy ; Liver. Biliary tract. Portal circulation. 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The purpose of the present study was to investigate the correlation between the procedure, the pathologic differentiation of the primary tumor, and the treatment after implantation. Between July 1992 and March 2000, HCC patients (n = 372) who underwent biopsy, percutaneous ethanol injection (PEI) therapy and percutaneous microwave coagulation therapy (PMCT) and PC (n = 73) patients who underwent biopsy were retrospectively studied. Needle tract implantation was found in six of the HCC patients (1.6%) and one of the PC patients (1.4%). The interval to diagnosis ranged from 5 to 25 months (mean ± SD 11.2 ± 7.6 months) in the HCC patients. The needle tract implantation was evident for all procedure types in these patients (two after PEI alone, two after both biopsy and PEI, and one after PMCT) and for each degree of pathologic differentiation of the primary tumors (well differentiated in one, moderately differentiated in two, and poorly differentiated in one). Each implanted tumor was surgically resected, with no recurrence at the focal lesion. These results suggest that needle tract implantation develops regardless of the procedure or the pathologic differentiation of the primary tumor, and that surgical resection might be effective for controlling these implanted lesions.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - diagnostic imaging</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Carcinoma, Hepatocellular - therapy</subject><subject>Dynamic Compute Tomography</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Humans</subject><subject>Liver Neoplasms - diagnostic imaging</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - therapy</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Needle Biopsy</subject><subject>Needles</subject><subject>Neoplasm Seeding</subject><subject>Pancreatic Carcinoma</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pancreatic Neoplasms - therapy</subject><subject>Pathologic Differentiation</subject><subject>Percutaneous Needle Biopsy</subject><subject>Punctures</subject><subject>Retrospective Studies</subject><subject>Tumors</subject><subject>Ultrasonography</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc-KFDEQxoMo7jr6AF6kEfTWWun0n7Q3HVx3ZdEFd_EYqtPVO72kkzFJI3PzEXw6H8AnMe0MrAjiJQnUr776Uh9jjzm84ADNywBQ1DIHEHmzHLs77JiXosgLUYi77BhEXaY3F0fsQQg3ALypob7PjnhZlxJKccx-fCDqDWWXHnXMzqatQRsxjs5mbshOaYvRaTJmNuizNXo9WjdhhrbPLtBqT4nVfxaGSD67MtFjcLPtf377fj2PPSWcvJ4jWnJzyC5mq-Ps6VW2NqMdNZqDZNw4464XyQ0ulsiPIU0Iv8txsxhNIyeycfH3T_MP2b0BTaBHh3vFrk7eXq5P8_OP787Wr89zXTYgcwEttVSKvtECa6jqVmhddR10teRl32neDlU78I4q2aMUqFuJCOXQkJBDW4kVe77X3Xr3ZaYQ1TSGZV_7fyoJHIRomgQ-_Qu8cbO3yZsqeNtWleR1gvge0t6F4GlQWz9O6HeKg1oSV_vEVQpbLYmrXep5chCeu4n6245DxAl4dgAwpD0PPsU2hluuKiVfwBVr99zX0dDu_5PV5_ef3pxAUYAUvwDni8sE</recordid><startdate>200401</startdate><enddate>200401</enddate><creator>Kosugi, Chihiro</creator><creator>Furuse, Junji</creator><creator>Ishii, Hiroshi</creator><creator>Maru, Yasushi</creator><creator>Yoshino, Masahiro</creator><creator>Kinoshita, Taira</creator><creator>Konishi, Masaru</creator><creator>Nakagohri, Toshio</creator><creator>Inoue, Kazuto</creator><creator>Oda, Tatsuya</creator><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200401</creationdate><title>Needle Tract Implantation of Hepatocellular Carcinoma and Pancreatic Carcinoma after Ultrasound‐guided Percutaneous Puncture: Clinical and Pathologic Characteristics and the Treatment of Needle Tract Implantation</title><author>Kosugi, Chihiro ; Furuse, Junji ; Ishii, Hiroshi ; Maru, Yasushi ; Yoshino, Masahiro ; Kinoshita, Taira ; Konishi, Masaru ; Nakagohri, Toshio ; Inoue, Kazuto ; Oda, Tatsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4708-309e9e43d7c3a605693cc5bb0b6814dbc19f59f1be58da83ac98aa04f7e38f953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - diagnostic imaging</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Carcinoma, Hepatocellular - therapy</topic><topic>Dynamic Compute Tomography</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Humans</topic><topic>Liver Neoplasms - diagnostic imaging</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - therapy</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Needle Biopsy</topic><topic>Needles</topic><topic>Neoplasm Seeding</topic><topic>Pancreatic Carcinoma</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pancreatic Neoplasms - therapy</topic><topic>Pathologic Differentiation</topic><topic>Percutaneous Needle Biopsy</topic><topic>Punctures</topic><topic>Retrospective Studies</topic><topic>Tumors</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kosugi, Chihiro</creatorcontrib><creatorcontrib>Furuse, Junji</creatorcontrib><creatorcontrib>Ishii, Hiroshi</creatorcontrib><creatorcontrib>Maru, Yasushi</creatorcontrib><creatorcontrib>Yoshino, Masahiro</creatorcontrib><creatorcontrib>Kinoshita, Taira</creatorcontrib><creatorcontrib>Konishi, Masaru</creatorcontrib><creatorcontrib>Nakagohri, Toshio</creatorcontrib><creatorcontrib>Inoue, Kazuto</creatorcontrib><creatorcontrib>Oda, Tatsuya</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kosugi, Chihiro</au><au>Furuse, Junji</au><au>Ishii, Hiroshi</au><au>Maru, Yasushi</au><au>Yoshino, Masahiro</au><au>Kinoshita, Taira</au><au>Konishi, Masaru</au><au>Nakagohri, Toshio</au><au>Inoue, Kazuto</au><au>Oda, Tatsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Needle Tract Implantation of Hepatocellular Carcinoma and Pancreatic Carcinoma after Ultrasound‐guided Percutaneous Puncture: Clinical and Pathologic Characteristics and the Treatment of Needle Tract Implantation</atitle><jtitle>World journal of surgery</jtitle><addtitle>World J Surg</addtitle><date>2004-01</date><risdate>2004</risdate><volume>28</volume><issue>1</issue><spage>29</spage><epage>32</epage><pages>29-32</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Tumor implantation along the needle tract following percutaneous procedures under ultrasonographic guidance for hepatocellular carcinoma (HCC) and pancreatic carcinoma (PC) has been well documented. The purpose of the present study was to investigate the correlation between the procedure, the pathologic differentiation of the primary tumor, and the treatment after implantation. Between July 1992 and March 2000, HCC patients (n = 372) who underwent biopsy, percutaneous ethanol injection (PEI) therapy and percutaneous microwave coagulation therapy (PMCT) and PC (n = 73) patients who underwent biopsy were retrospectively studied. Needle tract implantation was found in six of the HCC patients (1.6%) and one of the PC patients (1.4%). The interval to diagnosis ranged from 5 to 25 months (mean ± SD 11.2 ± 7.6 months) in the HCC patients. The needle tract implantation was evident for all procedure types in these patients (two after PEI alone, two after both biopsy and PEI, and one after PMCT) and for each degree of pathologic differentiation of the primary tumors (well differentiated in one, moderately differentiated in two, and poorly differentiated in one). Each implanted tumor was surgically resected, with no recurrence at the focal lesion. These results suggest that needle tract implantation develops regardless of the procedure or the pathologic differentiation of the primary tumor, and that surgical resection might be effective for controlling these implanted lesions.</abstract><cop>New York</cop><pub>Springer‐Verlag</pub><pmid>14648043</pmid><doi>10.1007/s00268-003-7003-y</doi><tpages>4</tpages></addata></record> |
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| subjects | Biological and medical sciences Carcinoma, Hepatocellular - diagnostic imaging Carcinoma, Hepatocellular - pathology Carcinoma, Hepatocellular - therapy Dynamic Compute Tomography Female Gastroenterology. Liver. Pancreas. Abdomen General aspects Humans Liver Neoplasms - diagnostic imaging Liver Neoplasms - pathology Liver Neoplasms - therapy Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Needle Biopsy Needles Neoplasm Seeding Pancreatic Carcinoma Pancreatic Neoplasms - diagnostic imaging Pancreatic Neoplasms - pathology Pancreatic Neoplasms - therapy Pathologic Differentiation Percutaneous Needle Biopsy Punctures Retrospective Studies Tumors Ultrasonography |
| title | Needle Tract Implantation of Hepatocellular Carcinoma and Pancreatic Carcinoma after Ultrasound‐guided Percutaneous Puncture: Clinical and Pathologic Characteristics and the Treatment of Needle Tract Implantation |
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