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needle tract seeding of papillary thyroid carcinoma after fine-needle capillary biopsy:A case report

World Journal of Clinical Cases 2021年第15期9卷 3662-3667页

作者： Liu-Hong Shi Liang Zhou Yin-Jiao Lei Lian Xia Lei Xie Department of Head and Neck Surgery Affiliated Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016Zhejiang ProvinceChina Department of Pathology Affiliated Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016Zhejiang ProvinceChina Department of Nursing Affiliated Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016Zhejiang ProvinceChina

BACKGROUND Fine-needle biopsy is an accurate and cost-efficient tool for the assessment of thyroid *** includes two primary methods:Fine-needle capillary biopsy(FNCB)and fine-needle aspiration *** tract seeding(NTS)is a rare complication of thyroid fine-needle biopsy mainly caused by fine-needle aspiration biopsy rather than ***,we present an extremely rare case of a papillary thyroid carcinoma(PTC)patient with FNCB-derived *** SUMMARY We report a 32-year-old woman with PTC who showed subcutaneous NTS 1 year after FNCB and *** was diagnosed based on clinical manifestations,biochemistry indices,and imaging(computed tomography and ultrasound).Pathological identification of PTC metastases consistent with the puncture path is the gold standard for *** resection was the main method used to treat the *** surgery,thyroid function tests and ultrasound scans were performed every 3-6 *** date,no evidence of tumor recurrence has been *** FNCB is a safe procedure as NTS is rare,and can be easily removed surgically with no ***,NTS should not limit the usefulness of FNCB.

关键词： needle tract seeding Fine-needle capillary biopsy Papillary thyroid carcinoma Rearranged during transfection gene fusion Thyroglobulin antibody Case report

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Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

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World Journal of Gastroenterology 2020年第40期26卷 6182-6194页

作者： Ruo-Yu Gao Ben-Hua Wu Xin-Ying Shen Tie-Li Peng De-Feng Li Cheng Wei Zhi-Chao Yu Ming-Han Luo Feng Xiong Li-Sheng Wang Jun Yao Department of Gastroenterology Second Clinical Medical College of Jinan UniversityShenzhen People’s HospitalShenzhen 518020Guangdong ProvinceChina Department of Interventional Medicine Second Clinical Medical College of Jinan UniversityShenzhen People’s HospitalShenzhen 518020Guangdong ProvinceChina Department of Gastroenterology Institute of Digestive Disease of Guangzhou Medical UniversityThe Sixth Affiliated Hospital of Guangzhou Medical UniversityQingyuan 511500Guangdong ProvinceChina

Endoscopic ultrasound-guided minimally invasive tissue acquisition can be performed by two approaches as follows: Endoscopic ultrasound-guided fineneedle aspiration(EUS-FNA) and endoscopic ultrasound-guided fine-needle biopsy(EUS-FNB). These have been evolved into leading approaches and widely used for the histological diagnosis of tumors in the gastrointestinal tract and adjacent organs. However, the role of EUS-FNA and EUS-FNB in disease diagnosis and evaluation remains controversial. Although the incidence of surgery-associated complications remains low, the consequences of needle tract seeding can be serious or even life-threatening. Recently, increasing case reports of needle tract seeding are emerging, especially caused by EUS-FNA. This complication needs serious consideration. In the present work, we integrated these case reports and the related literature, and summarized the relevant cases and technical characteristics of needle tract seeding caused by EUS-FNA and EUSFNB. Collectively, our findings provided valuable insights into the prevention and reduction of such serious complication.

关键词： Endoscopic ultrasound-guided fine-needle aspiration Endoscopic ultrasoundguided fine-needle biopsy needle tract seeding Gastrointestinal tract Computed tomography

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