Percutaneous liver biopsy in oncologic patients – a case report

Authors

  • Rita Lucas Serviço de Radiologia – Hospital de Santo António dos Capuchos, CHLC, Portugal
  • Patrícia Amaral Serviço de Cirurgia Geral – Hospital de Santo António dos Capuchos, CHLC, Portugal
  • Catarina Ladeira Serviço de Cirurgia Geral – Hospital de Santo António dos Capuchos, CHLC, Portugal
  • João Lourenço Serviço de Radiologia – Hospital de Santo António dos Capuchos, CHLC, Portugal
  • Luís Vieira Serviço de Radiologia – Hospital de Santo António dos Capuchos, CHLC, Portugal
  • Francisco Oliveira Martins Serviço de Cirurgia Geral – Hospital de Santo António dos Capuchos, CHLC, Portugal
  • Ângela Marques Serviço de Radiologia – Hospital de Santo António dos Capuchos, CHLC, Portugal

Abstract

The image-guided percutaneous liver biopsy is a useful tool which gives a reliable histological diagnosis without surgical intervention. However it isn’t a procedure free of complications. In the particular case of patients with a known oncologic context, accurate diagnosis and staging is essential for selecting the appropriate therapeutic approach. In these patients, imaging characterization should be preferred, however in cases where doubts persist we can rely on the biopsy. This article presents a case of tumor seeding in the needle path of a liver biopsy, in a patient with a recent diagnosis of intraepithelial colon neoplasia, and detection of multiple hepatic lesions and a pulmonary nodule in initial imaging staging.

Keywords: Image-Guided Biopsy, Ultrasound, Neoplasm Metastasis; Liver 

Downloads

Download data is not yet available.

References

- Grant A, Neuberger J, Day C, Saxseena S. Guidelines on the use of LiverBiopsy in Clinical Practice [Internet]. British Society of Gas- troenterology; 2004 [citado 12 de Novembro de 2013]. Obtido de: http://www.bsg.org.uk/images/stories/docs/clinical/guidelines/liver/ liver_biopsy.pdf

- Cresswell AB, Welsh FKS, Rees M. A diagnostic paradigm for resectable liver lesions: to biopsy or not to biopsy? HPB (Oxford). Novembro de 2002;11(7):533-40.

- Jones OM, Rees M, John TG, Bygrave S; Plant G. Biopsy of resectable colorectal liver metastases causes tumour dissemination and adversely affects survival after liver resection, Br J Surg. 2005 Sep;22(2):1165-8.

- Vergara V, Garripoli A, Marucci MM, Bonino F, Capussotti L, Colon cancer seeding after percutaneous fine needle aspiration of liver metas- tasis. J Hepatol. 1223 Jul;18(3):276-8.

- Elsayes KM, Ellis JH, Elkhouly T, Ream JM, Bowerson M, Khan A, et al. Diagnostic yield of percutaneous image-guided tissue biopsy of focal hepatic lesions in cancer patients. Cancer. 2011;117(17):4041-8.

Published

2014-03-21

Issue

Section

Clinical Case