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http://dx.doi.org/10.3904/kjm.2012.82.3.326

A Case of Needle-Track Implantation of Hepatocellular Carcinoma in the Chest Wall after Laparoscopic Radiofrequency Ablation  

Kim, Eui-Sik (Department of Internal Medicine, Chungnam University School of Medicine)
Kim, Yun-Jeung (Department of Internal Medicine, Chungnam University School of Medicine)
Lee, Su-Youn (Department of Internal Medicine, Chungnam University School of Medicine)
Lee, Eaum-Seok (Department of Internal Medicine, Chungnam University School of Medicine)
Kim, Seok-Hyun (Department of Internal Medicine, Chungnam University School of Medicine)
Lee, Byung-Seok (Department of Internal Medicine, Chungnam University School of Medicine)
Lee, Heon-Young (Department of Internal Medicine, Chungnam University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.82, no.3, 2012 , pp. 326-330 More about this Journal
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.
Keywords
Hepatocellular carcinoma; Laparoscopy; Radiofrequency ablation; Neoplastic seeding;
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