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Biopsy of solid liver tumors:adverse consequences 被引量:1

Biopsy of solid liver tumors:adverse consequences
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摘要 BACKGROUND:Percutaneous radiologically-guided liver biopsy is used routinely worldwide in all secondary- level hospital centers.While it has an undoubted role in the investigation and management of acute and chronic inflammatory conditions of the liver,its role in hepatic oncology is doubtful and probably dangerous. METHOD:We report on two patients who underwent preoperative biopsy of potentially resectable liver tumors. RESULTS:At the time of surgery,there was evidence of seeding at the biopsy site in both cases.In case 1,potentially curative liver resection was rendered incurable because of gross peritoneal carcinomatosis lying adjacent to the site of liver biopsy.In case 2,the patient underwent curative liver resection,but there was histopathological evidence of peritoneal disease beyond the liver capsule along the falciform ligament at the site of the previous biopsy. CONCLUSIONS:No patient with a suspicious liver tumor which is thought to be malignant and has any possibility of being a potential candidate for liver surgery,should be subjected to pre-operative diagnostic biopsy in a non- specialist center. BACKGROUND:Percutaneous radiologically-guided liver biopsy is used routinely worldwide in all secondary- level hospital centers.While it has an undoubted role in the investigation and management of acute and chronic inflammatory conditions of the liver,its role in hepatic oncology is doubtful and probably dangerous. METHOD:We report on two patients who underwent preoperative biopsy of potentially resectable liver tumors. RESULTS:At the time of surgery,there was evidence of seeding at the biopsy site in both cases.In case 1,potentially curative liver resection was rendered incurable because of gross peritoneal carcinomatosis lying adjacent to the site of liver biopsy.In case 2,the patient underwent curative liver resection,but there was histopathological evidence of peritoneal disease beyond the liver capsule along the falciform ligament at the site of the previous biopsy. CONCLUSIONS:No patient with a suspicious liver tumor which is thought to be malignant and has any possibility of being a potential candidate for liver surgery,should be subjected to pre-operative diagnostic biopsy in a non- specialist center.
机构地区 Department of Surgery
出处 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2008年第3期325-327,共3页 国际肝胆胰疾病杂志(英文版)
关键词 liver biopsy colorectal liver metastases hepatocellular carcinoma liver biopsy colorectal liver metastases hepatocellular carcinoma
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参考文献6

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二级参考文献2

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同被引文献1

  • 1Hong-Chi Jiang Lian-Xin Liu Da-Xun Piao Jun Xu An-Long Zhu Wei-Hui Zhang Lin-Feng Wu Department of Surgery,the First Clinical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China Min Zheng Department of Ultrasound Diagnosis,the First Clinical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China Shu-Yi Qi Second Inpatient Department,the First Clinical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China.Clinical short-term results of radiofrequency ablation in liver cancers[J].World Journal of Gastroenterology,2002,8(4):624-630. 被引量:33

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