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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1998 Mar;51(3):241–243. doi: 10.1136/jcp.51.3.241

Histological identification of carcinoma in 21 gauge needle tracks after fine needle aspiration biopsy of head and neck carcinoma.

A J Mighell 1, A S High 1
PMCID: PMC500648  PMID: 9659269

Abstract

Six cancer resection specimens were thoroughly sectioned and microscopically examined at areas known to have been around 21 gauge fine needle aspiration (FNA) biopsy sites, in an attempt to identify needle tracks. All cases had an interval of not less than 10 days between FNA biopsy and surgery. Foci of tumour were identified histologically in needle tracks from two patients with carcinoma. This is the first instance, outside of experimental animal models, of histologically confirmed, viable tumour spread in FNA biopsy tracks. Although this complication is not common and is of unknown clinical significance, it is one that all clinicians who undertake FNA of malignant neoplasms should be aware of.

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Selected References

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  1. Birchall M. A., Stafford N. D., Walsh-Waring G. P. Malignant neck lumps: a measured approach. Ann R Coll Surg Engl. 1991 Mar;73(2):91–95. [PMC free article] [PubMed] [Google Scholar]
  2. Engzell U., Esposti P. L., Rubio C., Sigurdson A., Zajicek J. Investigation on tumour spread in connection with aspiration biopsy. Acta Radiol Ther Phys Biol. 1971 Aug;10(4):385–398. doi: 10.3109/02841867109130784. [DOI] [PubMed] [Google Scholar]
  3. Gooder P., Palmer M. Cervical lymph node biopsy--a study of its morbidity. J Laryngol Otol. 1984 Oct;98(10):1031–1040. doi: 10.1017/s0022215100147942. [DOI] [PubMed] [Google Scholar]
  4. Ryd W., Hagmar B., Eriksson O. Local tumour cell seeding by fine-needle aspiration biopsy. A semiquantitative study. Acta Pathol Microbiol Immunol Scand A. 1983 Jan;91(1):17–21. doi: 10.1111/j.1699-0463.1983.tb02721.x. [DOI] [PubMed] [Google Scholar]
  5. Schwarz R., Chan N. H., MacFarlane J. K. Fine needle aspiration cytology in the evaluation of head and neck masses. Am J Surg. 1990 May;159(5):482–485. doi: 10.1016/s0002-9610(05)81251-6. [DOI] [PubMed] [Google Scholar]
  6. Smith E. H. Complications of percutaneous abdominal fine-needle biopsy. Review. Radiology. 1991 Jan;178(1):253–258. doi: 10.1148/radiology.178.1.1984314. [DOI] [PubMed] [Google Scholar]
  7. Struve-Christensen E. Iatrogenic dissemination of tumour cells. Dissemination of tumour cells along the needle track after percutaneous, transthoracic lung biopsy. Dan Med Bull. 1978 Feb;25(2):82–87. [PubMed] [Google Scholar]

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