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Eur J Cardiothorac Surg 2001;20:868-870
© 2001 Elsevier Science NL


Case report

Implantation metastasis caused by fine needle aspiration biopsy following curative resection of stage IB non-small cell lung cancer

Murat Karaa, Göknur Alverb, Serpil Dizbay Sakc, Sevket Kavukçub

a Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100, Kirikkale, Turkey
b Department of Thoracic Surgery, Ankara University School of Medicine, bn-i Sina Hospital, 06100, Sihhiye, Ankara, Turkey
c Department of Pathology, Ankara University School of Medicine, 06100, Sihhiye, Ankara, Turkey

Received 13 April 2001; received in revised form 8 June 2001; accepted 17 June 2001.

Corresponding author. Güvenlik caddesi, Esenlik sokak 7/10, 06540, Aaiayranci, Ankara, Turkey. Tel.: + 90-312-4670054; fax: +90-312-4377784
e-mail: muratkara66{at}hotmail.com

Fine needle aspiration is a useful procedure in the diagnosis of lung cancer, however controversy still remains as to whether it should be employed particularly in patients with operable lung cancer. We report herein a case of metastatic tumor at the site of transthoracic needle biopsy following a curative resection in a patient with stage IB bronchogenic carcinoma. The patient was managed with aggressive chest wall resection and subsequent musculocutaneus flap transposition, however he died 11 months after the initial operation. The tumor implantation risk and the related complications should be considered in patients with operable bronchogenic carcinoma undergoing a tranthoracic needle aspiration biopsy.

Key Words: Transthoracic needle biopsy • Lung cancer • Recurrence




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Copyright © 2001 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.