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Needle track seeding in renal mass biopsies
Author(s) -
Renshaw Andrew A.,
Powell Alex,
Caso Jorge,
Gould Edwin W.
Publication year - 2019
Publication title -
cancer cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.29
H-Index - 57
eISSN - 1934-6638
pISSN - 1934-662X
DOI - 10.1002/cncy.22147
Subject(s) - medicine , seeding , biopsy , fine needle aspiration , renal mass , radiology , renal cell carcinoma , complication , surgery , kidney , nephrectomy , engineering , aerospace engineering
A review and analysis of the literature demonstrates that needle track seeding in renal mass biopsy has been reported 16 times. This complication occurs almost exclusively among patients with papillary renal cell carcinoma. The incidence is associated with multiple punctures of the mass, the use of core needles of ≥20 gauge, and lack of a coaxial sheath. Needle tract seeding may be associated with tumor upstaging and a worse prognosis. Fine‐needle aspiration has a significantly lower rate of needle track seeding compared with large core needle biopsy (>20‐gauge needle). A more formalized risk‐based system for interpreting renal mass fine‐needle aspiration may be useful as clinicians choose among an increasing number of therapeutic options.