Abdominal wall implantation of hepatocellular carcinoma

Ali Aldahham,Sami Asfer,Ahmad Almosawi,Shurooq Boodai,Adel Alfuderi

doi:10.1186/1477-7819-4-72

Abstract

BackgroundPercutaneous fine needle aspiration cytology (FNAC) became a popular method for diagnosis of hepatic masses. Abdominal wall implantation from FNAC is rare.Case presentationWe report a female patient who presented with a right upper abdominal wall mass 3 years following a fine needle aspiration cytology (FNAC) and resection of a solitary hepatocellular carcinoma (HCC) from the liver. The mass proved to be a metastatic HCC; it was locally resected with safety margins. To date (20 months later) she remains well with no recurrence.ConclusionImplantation of tumor cells after FNAC for HCC is rare, but can happen. The availability of dynamic imaging of the liver should reduce the need for this technique in the diagnostic workup of patients suspected of having HCC

Highlights

Percutaneous fine needle aspiration cytology (FNAC) became a popular method for diagnosis of hepatic masses
The availability of dynamic imaging of the liver should reduce the need for this technique in the diagnostic workup of patients suspected of having hepatocellular carcinoma (HCC)
In this report we present a rare case of abdominal wall implantation of hepatocellular carcinoma 3 years following FNAC and resection of the primary lesion

Summary

Introduction

Percutaneous fine needle aspiration cytology (FNAC) became a popular method for diagnosis of hepatic masses. Conclusion: Implantation of tumor cells after FNAC for HCC is rare, but can happen. In this report we present a rare case of abdominal wall implantation of hepatocellular carcinoma 3 years following FNAC and resection of the primary lesion.

Results

Conclusion