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Needle track seeding:A real hazard after percutaneous radiofrequency ablation for colorectal liver metastasis

World Journal of Gastroenterology 2009年第13期15卷 1653-1655页

作者： shirley yuk-wah liu Kit-Fai Lee Paul Bo-San Lai Division of Hepato-biliary and Pancreatic Surgery Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong Kong

Neoplastic needle track seeding following percutaneous radiofrequency ablation(RFA)of secondary liver tumors is exceedingly *** on cutaneous tumor seeding after percutaneous RFA for colorectal liver metastasis are even rarer in the *** we report a case of a 46-year-old female who developed an ulcerating skin lesion along the needle track of a previous percutaneous RFA site around 6 mo after the *** previous RFA was performed by the LeVeen needle for a secondary liver tumor from a primary rectal *** diagnosis of secondary skin metastasis was confirmed by fine needle aspiration *** lesion was successfully treated with wide local *** believe that tumor seeding after percutaneous RFA in our patient was possibly related to its unfavorable subcapsular location and the use of an expansion-type ***,prophylactic ablation of the needle track should be performed whenever ***,alternative routes of tumor ablation such as laparoscopic or open RFA should be considered.

关键词： Radiofrequency catheter ablation Needles Neoplasm seeding Liver neoplasms Skin neoplasms Neoplasm metastasis

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Multi-limb necrotizing fasciitis in a patient with rectal cancer

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World Journal of Gastroenterology 2006年第32期12卷 5256-5258页

作者： shirley yuk wah liu Simon Siu Man Ng Janet Fung Yee Lee Department of Surgery Prince of Wales Hospital 30-32 Ngan Shing StreetShatinN.T.Hong KongChina

Necrotizing fasciitis is a devastating soft tissue infection affecting fascias and subcutaneous soft tissues. Literature reviews have identified several related risk factors, including malignancy, alcoholism, malnutrition, diabetes, male gender and old age. There are only scanty case reports in the literature describing its rare association with colorectal malignancy. All published cases are attributed to bowel perforation resulting in necrotizing fasciitis over the perineal region. Isolated upper or lower limb diseases are rarely identified. Simultaneous upper and lower limb infection in colorectal cancer patients has never been described in the literature. We report an unusual case of multi-limb necrotizing fasciitis in a patient with underlying non-perforated rectal carcinoma.

关键词： Necrotizing fasciitis Soft tissue infection Colorectal cancer Malignancy Group G streptococcus

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