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Needle tract seeding following percutaneous biopsy of renal cell carcinoma

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Chang Dwayne T. S., Sur Hariom, Lozinskiy Mikhail, Wallace David M. A.,
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 ( Chang Dwayne T. S. ) 
Rockingham General Hospital Department of Urology

 ( Sur Hariom ) 
Rockingham General Hospital Department of Urology
 ( Lozinskiy Mikhail ) 
Rockingham General Hospital Department of Urology
 ( Wallace David M. A. ) 
Rockingham General Hospital Department of Urology

Abstract


A 66-year-old man underwent computed tomography-guided needle biopsy of a suspicious renal mass. Two months later he underwent partial nephrectomy. Histology revealed a 30-mm clear cell renal cell carcinoma, up to Fuhrman grade 3. An area of the capsule was interrupted, which corresponded to a hemorrhagic area on the cortical surface. Under microscopy, this area showed a tongue of tumor tissue protruding through the renal capsule. A tumor deposit was found in the perinephric fat. These features suggest that tumor seeding may have occurred during the needle biopsy.

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Biopsy; Carcinoma; Histology; Neoplasm seeding

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