Tumour Seeding in the Tract of Percutaneous Renal Tumour Biopsy: A Report on Seven Cases from a UK Tertiary Referral Centre

The role of percutaneous renal tumour biopsy (RTB) in the management of radiological indeterminate renal masses is long established. Patients with small renal masses who have biopsy-proven renal cell carcinoma (RCC) may be offered surgery, ablative therapy, or active surveillance, and RTB can provid...

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Vydáno v:	European urology Ročník 75; číslo 5; s. 861 - 867
Hlavní autoři:	Macklin, Philip S., Sullivan, Mark E., Tapping, Charles R., Cranston, David W., Webster, Guy M., Roberts, Ian S.D., Verrill, Clare L., Browning, Lisa
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Switzerland Elsevier B.V 01.05.2019
Témata:	Adult Aged Biopsy Biopsy, Needle - adverse effects Biopsy, Needle - methods Carcinoma Carcinoma, Renal Cell - diagnosis Carcinoma, Renal Cell - pathology Carcinoma, Renal Cell - surgery Female Humans Kidney - pathology Kidney Neoplasms - diagnosis Kidney Neoplasms - pathology Kidney Neoplasms - surgery Male Middle Aged Neoplasm Recurrence, Local - etiology Neoplasm Recurrence, Local - pathology Neoplasm Seeding Renal Seeding Tertiary Care Centers Tumour United Kingdom United Kingdom Carcinoma Tumour Renal Biopsy Seeding
ISSN:	0302-2838, 1873-7560, 1873-7560
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Popis
Shrnutí:	The role of percutaneous renal tumour biopsy (RTB) in the management of radiological indeterminate renal masses is long established. Patients with small renal masses who have biopsy-proven renal cell carcinoma (RCC) may be offered surgery, ablative therapy, or active surveillance, and RTB can provide diagnostic tissue from patients with metastatic disease who might benefit from systemic therapy. Current guidelines suggest that tumour seeding along the needle tract is anecdotal, but several cases have been reported recently, although some have been associated with lack of a coaxial sheath. We report on seven patients who underwent surgical resection of RCC in our tertiary referral institution following diagnostic RTB between 2014 and 2017 for whom RTB tract seeding by tumour was identified on histological examination of the resection specimen. One of these patients subsequently developed local tumour recurrence at the site of the previous biopsy.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0302-2838 1873-7560 1873-7560
DOI:	10.1016/j.eururo.2018.12.011