Journal List > J Korean Soc Radiol > v.77(4) > 1087852

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Kim, Park, Baek, and Koh: Chest Wall Implantation of Lung Cancer Following CT-Guided Wire Localization: A Case Report
Chest Radiology
Case Report

Journal of the Korean Society of Radiology 2017; 77(4): 241-244.

Published online: 27 September 2017

DOI: https://doi.org/10.3348/jksr.2017.77.4.241

Chest Wall Implantation of Lung Cancer Following CT-Guided Wire Localization: A Case Report

Hye Hee Kim, MD1, Jong Heon Park, MD1, Hee Jong Baek, MD2, Jae Soo Koh, MD3

1Department of Radiology, Korea Cancer Center Hospital, Seoul, Korea.

2Department of Thoracic Surgery, Korea Cancer Center Hospital, Seoul, Korea.

3Department of Pathology, Korea Cancer Center Hospital, Seoul, Korea.

Corresponding author: Jong Heon Park, MD. Department of Radiology, Korea Cancer Center Hospital, 75 Nowon-ro, Nowon-gu, Seoul 01812, Korea. Tel. 82-2-970-1576, Fax. 82-2-970-2433, medpjh@hanmail.net

Received 26 January 2017       Revised 23 February 2017       Accepted 25 February 2017

Copyrights © 2017 The Korean Society of Radiology

The Korean Society of Radiology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tumor implantation of lung cancer at the wire localization site has not been reported previously while there have been several reported cases of chest wall implantation after percutaneous core needle biopsy and chest tube insertion for malignant pleural effusion. We report the case of a 64-year-old-man with lung cancer (squamous cell carcinoma). The patient had lung cancer implantation in the chest wall 8 months after computed tomography-guided wire localization and subsequent anterior segmentectomy of right upper lobe with mediastinal lymph node dissection.

Keywords: Neoplasm Seeding, Non-Small Cell Lung Cancer

Figures and Tables

Fig. 1

Imaging and histology findings of a chest wall implantation from primary lung cancer following CT-guided wire localization in a 64-year-old man.

A. CT scan shows a 0.9 cm cavitary nodule in the subpleural region of the RUL. The distance between the nodule and visceral pleura is approximately 0.5 cm.
B. CT scan demonstrates that the wire tip is located at the nodule through the anterior part of the right second intercostal space.
C. Photomicrograph (hematoxylin and eosin stain, × 200) of the primary lung cancer in the RUL reveals tumor cells with intracellular bridges. This finding indicated the nodule was squamous cell carcinoma.
D. Enhanced CT scan reveals a well-defined 3-cm enhancing mass (arrows) in the right second intercostal space. The mass invades the right pectoralis minor and the second intercostal muscles.
E. Photomicrograph (hematoxylin and eosin stain, × 200) of the chest wall mass shows tumor cells with intracellular bridges. This histological characteristic was identical to that of primary lung cancer.
CT = computed tomography, RUL = right upper lobe
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