The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Needle-Track Implantation of Hepatocellular Carcinoma in the Chest Wall after Laparoscopic Radiofrequency Ablation

간세포암의 복강경하 고주파 소작술 후 천자침 경로를 통한 흉벽 전이 1예

  • Kim, Eui-Sik (Department of Internal Medicine, Chungnam University School of Medicine) ;
  • Kim, Yun-Jeung (Department of Internal Medicine, Chungnam University School of Medicine) ;
  • Lee, Su-Youn (Department of Internal Medicine, Chungnam University School of Medicine) ;
  • Lee, Eaum-Seok (Department of Internal Medicine, Chungnam University School of Medicine) ;
  • Kim, Seok-Hyun (Department of Internal Medicine, Chungnam University School of Medicine) ;
  • Lee, Byung-Seok (Department of Internal Medicine, Chungnam University School of Medicine) ;
  • Lee, Heon-Young (Department of Internal Medicine, Chungnam University School of Medicine)
  • 김의식 (충남대학교 의학전문대학원 내과학교실) ;
  • 김윤정 (충남대학교 의학전문대학원 내과학교실) ;
  • 이수윤 (충남대학교 의학전문대학원 내과학교실) ;
  • 이엄석 (충남대학교 의학전문대학원 내과학교실) ;
  • 김석현 (충남대학교 의학전문대학원 내과학교실) ;
  • 이병석 (충남대학교 의학전문대학원 내과학교실) ;
  • 이헌영 (충남대학교 의학전문대학원 내과학교실)
  • Published : 2012.03.01
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Abstract

Radiofrequency ablation (RFA) is a popular technique and shows excellent local tumor control and acceptable morbidity. Although RFA is considered much safer than surgical treatment, it is not a complication-free procedure. The most common complications of percutaneous RFA areabdominal hemorrhage, abdominal infection (abscess), biliary tract damage, and ground-pad burns. Laparoscopic RFA (LRFA) is a safe, feasible treatment modality to achieve tumor destruction. LRFA has proven superior to the percutaneous approach for lesions that are difficult or impossible to treat percutaneously. Needle-track implantationafter LRFA is a rare complication in HCCs. We report a case of needle-tract implantation of HCC found in the chest wall, ribs,and diaphragm 11 months after LRFA in a 49-year-old man. Although treatment for needle-track implantation is not well established, the metastatic mass was surgically removed.

저자들은 피막하에 위치한 간세포암에 대해 복강경하 고주파 소작술 치료를 받았던 환자에서 천자침 경로를 통해 흉벽, 늑골, 횡격막 전이를 진단하고, 외과적인 국소 절제술을 통하여 전이암을 제거한 간세포암 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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