A Case of Needle-Track Implantation of Hepatocellular Carcinoma in the Chest Wall after Laparoscopic Radiofrequency Ablation.
- Author:
Eui Sik KIM
1
;
Yun Jeung KIM
;
Su Youn LEE
;
Eaum Seok LEE
;
Seok Hyun KIM
;
Byung Seok LEE
;
Heon Young LEE
Author Information
1. Department of Internal Medicine, Chungnam University School of Medicine, Dejeon, Korea. gie001@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Laparoscopy;
Radiofrequency ablation;
Neoplastic seeding
- MeSH:
Biliary Tract;
Burns;
Carcinoma, Hepatocellular;
Diaphragm;
Hemorrhage;
Humans;
Laparoscopy;
Middle Aged;
Thoracic Wall;
Thorax
- From:Korean Journal of Medicine
2012;82(3):326-330
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Radiofrequency ablation (RFA) is a popular technique and shows excellent local tumor control and acceptable morbidity. Although RFA is considered much safer than surgical treatment, it is not a complication-free procedure. The most common complications of percutaneous RFA areabdominal hemorrhage, abdominal infection (abscess), biliary tract damage, and ground-pad burns. Laparoscopic RFA (LRFA) is a safe, feasible treatment modality to achieve tumor destruction. LRFA has proven superior to the percutaneous approach for lesions that are difficult or impossible to treat percutaneously. Needle-track implantationafter LRFA is a rare complication in HCCs. We report a case of needle-tract implantation of HCC found in the chest wall, ribs,and diaphragm 11 months after LRFA in a 49-year-old man. Although treatment for needle-track implantation is not well established, the metastatic mass was surgically removed.
