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Ann Thorac Surg 1995;59:42-45
© 1995 The Society of Thoracic Surgeons

Articles

Thoracoscopic implantation of cancer with a fatal outcome

MD Willard A. Fry*, MD Aamir Siddiqui, MD Jay M. Pensler, MD Hassan Mostafavi

Departments of Surgery and Pathology, Evanston Hospital, Northwestern University Medical School, Evanston, Illinois, USA

Accepted for publication May 24, 1994.

* Address reprint requests to Dr Fry, 2500 Ridge Ave, Suite 105, Evanston, IL 60201.

A case is presented in which an indeterminate lung lesion was extracted through an accessory incision during a video-assisted thoracic surgical lung biopsy. The lesion was malignant, and a completion lobectomy was performed. An incisional recurrence developed 5 months later, and this was treated with a wide chest wall resection and reconstruction. However, there was a second massive chest wall recurrence that proved fatal. We believe that tumor seeding to the chest wall occurred at thoracoscopy. To prevent such tumor seeding, thoracoscopic biopsy specimens should be removed in some sort of receptacle when cancer is suspected.




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