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Japanese Journal of Clinical Oncology 30:450-452 (2000)
© 2000 Foundation for Promotion of Cancer Research

Lung Cancer Implantation in the Chest Wall Following Percutaneous Fine Needle Aspiration Biopsy

Takeshi Yoshikawa1, Junji Yoshida1, Mitsuyo Nishimura1, Tomoyuki Yokose2, Yutaka Nishiwaki1 and Kanji Nagai1,+

1Department of Thoracic Oncology, National Cancer Center Hospital East and 2Pathology Division, National Cancer Center Research Institute East, Kashiwa, Chiba, Japan

We describe a 70-year-old man with lung cancer implantation in the chest wall following percutaneous fine needle aspiration biopsy. He underwent lobectomy after percutaneous transthoracic fine needle aspiration biopsy using a 19-gauge needle. Twenty-six months after the biopsy, he noticed a hard subcutaneous tumor at the biopsy site in the chest wall. Ribs and intercostal muscles were resected. The primary lung tumor and the chest wall tumor were histologically identical, but were not contiguous to each other. We concluded that the subcutan­eous tumor was due to needle biopsy implantation. This complication is extremely rare, but open biopsy should always be considered as a possible alternative. During the procedure, care must be taken with the least chance of implantation and patients should be observed carefully after needle biopsy.

+ For reprints and all correspondence: Takeshi Yoshikawa, Department of Thoracic Oncology, National Cancer Center Hospital, 5–1, Kashiwanoha 6-chome, Kashiwa, Chiba 277–8577, Japan


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