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Eur J Cardiothorac Surg 2007;32:171-173. doi:10.1016/j.ejcts.2007.03.041
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Chest wall implantation of thymic cancer after computed tomography-guided core needle biopsy

Keitarou Matsumotoa,*, Kazuto Ashizawab, Tsutomu Tagawaa, Takeshi Nagayasua

a Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
b Department of Radiology and Radiation Biology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

Received 10 January 2007; received in revised form 14 March 2007; accepted 19 March 2007.

* Corresponding author. Tel.: +81 95 849 7304; fax: +81 95 849 7306. (Email: kmatsumo{at}net.nagasaki-u.ac.jp).

Percutaneous core needle biopsy is a useful procedure for diagnosing lung and mediastinal tumors. However, it has the potential to spread malignant cells from the tumor to the chest wall and pleural cavity. We report the case of a patient with thymic cancer who developed a metastatic tumor at the transthoracic needle biopsy site following a curative resection. The patient underwent an additional chest wall resection, but she developed recurrence in the pleural cavity 1 month after the second operation. The risk of tumor implantation and the related complications that can occur with transthoracic needle biopsy should be considered in patients with a malignant tumor. The indications for transthoracic needle biopsy should be restricted.

Key Words: Transthoracic core needle biopsy • Thymic cancer • Chest wall implantation






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.