Needle track seeding of papillary thyroid carcinoma from fine needle aspiration biopsy: A case report

John K. Karwowski, Kent W. Nowels, I. Ross McDougall, Ronald J. Weigel

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

BACKGROUND: Dissemination of tumor cells from needle biopsy has been observed in a wide range of tumor types. Fine needle aspiration (FNA) biopsy has become accepted as the first-line test in the evaluation of thyroid nodules. Local recurrence of thyroid cancer from needle track seeding is an extremely rare complication of thyroid FNA. CASE: A 59-year-old woman developed local recurrence of papillary thyroid carcinoma three years after FNA of the primary cancer. Local metastases developed in the skin and sternocleidomastoid muscle. The location of the recurrent cancer and the linear relationship of the metastases indicated that local recurrence was due to needle track seeding at the time of FNA. CONCLUSION: Needle track seeding has been recognized as a possible, albeit rare, complication of FNA of thyroid cancer. Although proper FNA technique can reduce the potential for needle track seeding, its occurrence is an unavoidable complication of FNA evaluation of thyroid malignancies.

Original languageEnglish (US)
Pages (from-to)591-595
Number of pages5
JournalActa Cytologica
Volume46
Issue number3
DOIs
StatePublished - Jan 1 2002

Keywords

  • Aspiration biopsy
  • Carcinoma, papillary
  • Needle track
  • Neoplasm seeding
  • Recurrence
  • Thyroid neoplasms

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

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