Abstract:
:Subcutaneous tumor seeding after percutaneous ethanol injection therapy (PEI) for hepatocellular carcinoma is a rarely seen complication. It is reported due to needle track seeding during PEI after a distance of 6-46 months. Metastatic tumor spread is described subcutaneously, to the chest wall, abdominal wall and diaphragm. We report the case of a 76-year-old patient with chronic hepatitis B infection and cirrhosis which let to a multilocular hepatocellular carcinoma who underwent PEI. This patient developed 2 months after primary PEI a subcutaneous tumor formation confined to the right lower chest wall. Surgical tumor resection was performed. The histopathological evaluation confirmed subcutaneous seeding of the preknown hepatocellular carcinoma with a maximum of 30 mm in diameter. As a risk of PEI subcutaneous metastasis of the primary tumor should be considered even in early stage of therapy and close follow-up of the patient during treatment is required. Surgical tumor resection to ensure the curative intention of PEI is advisable.
journal_name
Z Gastroenteroljournal_title
Zeitschrift fur Gastroenterologieauthors
Braune C,Widjaja A,Bartels M,Bleck JS,Flemming P,Manns MP,Klempnauer J,Gebel Mdoi
10.1055/s-2001-17188subject
Has Abstractpub_date
2001-09-01 00:00:00pages
789-92issue
9eissn
0044-2771issn
1439-7803journal_volume
39pub_type
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